Individual
MS. THANINEE KUMTHAVAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9127 W RUSSELL RD STE 110, LAS VEGAS, NV 89148-1253
(702) 209-2042
(702) 209-2064
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(702) 878-0070
(702) 209-2064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA824924
NV
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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