Individual
ANDREW FAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9133 TAILOR MADE AVE, LAS VEGAS, NV 89149-0612
(702) 994-1821
Mailing address
9133 TAILOR MADE AVE, LAS VEGAS, NV 89149-0612
(702) 994-1821
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
01/02/2013
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