Individual
CHRIS TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 E VIKING RD, LAS VEGAS, NV 89121-4156
(702) 471-7204
Mailing address
2951 E VIKING RD, LAS VEGAS, NV 89121-4156
(702) 471-7204
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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