| Musnitanandvazquezltd | |
|
4550 E Charleston Blvd Las Vegas NV 89104-5525 | |
| (702) 459-5500 | |
| (702) 938-6962 |
| Full Name | Musnitanandvazquezltd |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4550 E Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Ferdinand L Tan (PRESIDENT) |
| Authorized Official Contact | 7024595500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Musnitanandvazquezltd 4550 E Charleston Blvd Las Vegas NV 89104-5525 Ph: (702) 459-5500 | Musnitanandvazquezltd 4550 E Charleston Blvd Las Vegas NV 89104-5525 Ph: (702) 459-5500 |
| NPI Number | 1972684629 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972684629 | NPI | - | NPPES |
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