Organization
ABSOLUTE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIONITA TAM (MANAGING MEMBER)
(702) 934-3439
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR STE 164, LAS VEGAS, NV 89113-0154
(702) 664-9520
(702) 442-9178
Mailing address
4955 S DURANGO DR STE 164, LAS VEGAS, NV 89113-0154
(702) 664-9520
(702) 442-9178
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250015091
—
NV
Enumeration date
11/30/2020
Last updated
08/26/2022
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