Most Relevant Information
Provider Data
| NPI Number: | 1003498494 |
| Provider Name: | GIANCARLO ELUMBA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2021 |
| Last Updated: | 04/25/2021 |
Provider Practice Location
489 WHITEWOOD DR
HENDERSON
NV
890525614
Practice Location Phone/Fax
| Phone: | 7026822416 |
| Fax: |
Provider Mailing Location
489 WHITEWOOD DR
HENDERSON
NV
890525614
Provider Mailing Phone/Fax
| Phone: | 7026822416 |
| Fax: |