Individual
JOSEPH GANTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5645 BETTORS LUCK CT, LAS VEGAS, NV 89122-5266
(702) 576-8471
Mailing address
5645 BETTORS LUCK CT, LAS VEGAS, NV 89122-5266
(702) 576-8471
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN14576
NV
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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