Individual
ANGELIE TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 W CHARLESTON BLVD STE 190, LAS VEGAS, NV 89102-2352
(702) 671-5110
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(206) 883-6826
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2800
NV
363AS0400X
Surgical Physician Assistant
PA60223
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2020
Last updated
12/04/2023
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