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Individual

MRS. TINA MARY ANAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3890 LILAC HAZE ST, LAS VEGAS, NV 89147-6857
(702) 610-6241
Mailing address
3890 LILAC HAZE ST, LAS VEGAS, NV 89147-6857
(702) 610-6241

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN12192
NV

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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