Individual
TEODORO AGTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
7730 W CHEYENNE AVE STE 107, LAS VEGAS, NV 89129-8412
(725) 221-1568
(725) 333-9218
Mailing address
7730 W CHEYENNE AVE STE 107, LAS VEGAS, NV 89129-8412
(725) 221-1568
(725) 333-9218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001770
NV
Other
Enumeration date
07/15/2014
Last updated
05/19/2022
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