Individual
HANNAH KONDRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
62 N PECOS RD STE B, HENDERSON, NV 89074-7336
(702) 574-3845
Mailing address
62 N PECOS RD STE B, HENDERSON, NV 89074-7336
(702) 574-3845
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
E-45205
NV
374700000X
Technician
Primary
E-45305
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-45305
ELECTROLYSIS OUT OF NETWORK PROVIDER
NV
Enumeration date
02/18/2022
Last updated
07/01/2022
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