Organization
ATOMKANNOTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANCY TOM (MANAGER)
(702) 606-3445
Entity
Organization
Contact information
Practice address
2725 S JONES BLVD, LAS VEGAS, NV 89146-5667
(702) 606-3445
Mailing address
392 SANTA CANDIDA ST, LAS VEGAS, NV 89138-1523
(702) 606-3445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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