Individual
TONY CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10026 PRAIRIE DOVE AVE, LAS VEGAS, NV 89117-8452
(702) 831-3907
Mailing address
10026 PRAIRIE DOVE AVE, LAS VEGAS, NV 89117-8452
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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