Individual
TINA XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7717
(702) 824-1510
Mailing address
7255 W SUNSET RD APT 2113, LAS VEGAS, NV 89113-1913
(702) 824-1510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
922
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
03/31/2016
Last updated
07/21/2022
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