Individual
ALBERT TINOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5748 FLYING BIRDIE AVE, LAS VEGAS, NV 89122-4120
(702) 724-6411
Mailing address
5748 FLYING BIRDIE AVE, LAS VEGAS, NV 89122-4120
(702) 724-6411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506419
NV
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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