Individual
CHARISSE SANVICTORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 E FLAMINGO RD, LAS VEGAS, NV 89119-5170
(702) 784-4300
Mailing address
4234 ABERNETHY FOREST PL, LAS VEGAS, NV 89141-4337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2709
NV
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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