Individual
ABRAHAM TOSHINARI ICHINOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2880 N TENAYA WAY STE 420, LAS VEGAS, NV 89128-0642
(702) 255-2022
(702) 255-8810
Mailing address
8906 SPANISH RIDGE AVE STE 202, LAS VEGAS, NV 89148-1319
(702) 330-3102
(702) 912-4994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO3321
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
04/04/2023
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