Individual
ASMELASH ATSEBAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3651 LINDELL RD STE 748, LAS VEGAS, NV 89103-1254
(702) 912-4614
(702) 912-4399
Mailing address
3651 LINDELL RD STE 748, LAS VEGAS, NV 89103-1254
(702) 912-4614
(702) 912-4399
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1604747815
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1604747815
—
NV
Enumeration date
03/11/2014
Last updated
03/11/2014
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