Individual
MR. EDGAR TEVALAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 N. EASTERN AVE STE 120, LAS VEGAS, NV 89101
(702) 629-2574
(702) 629-2578
Mailing address
730 N. EASTERN AVE STE 120, LAS VEGAS, NV 89101
(702) 629-2574
(702) 629-2578
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NV
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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