Individual
MUNTASSER THAER AZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 S DECATUR BLVD STE 201A, LAS VEGAS, NV 89103-5239
(702) 486-4159
Mailing address
PO BOX 20692, LAS VEGAS, NV 89112-2692
(806) 881-2289
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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