Individual
JENASEY HISAKO NAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 789-5901
Mailing address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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