Individual
TINA KOSMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
7330 EASTGATE RD STE 130, HENDERSON, NV 89011-4048
(702) 493-3495
Mailing address
7330 EASTGATE RD STE 130, HENDERSON, NV 89011-4048
(702) 463-6373
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
456
NV
Other
Enumeration date
07/19/2018
Last updated
06/11/2019
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