Individual
CHRISTOPER PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 SHADOW LN, 106, LAS VEGAS, NV 89106-4363
(702) 759-0731
Mailing address
400 SHADOW LN, 106, LAS VEGAS, NV 89106-4363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN15287
NV
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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