Most Relevant Information
Provider Data
| NPI Number: | 1003568734 |
| Provider Name: | ALENA GHAZANCHYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2022 |
| Last Updated: | 01/24/2022 |
Provider Practice Location
2780 S JONES BLVD STE 105B
LAS VEGAS
NV
891465628
Practice Location Phone/Fax
| Phone: | 7023331488 |
| Fax: |
Provider Mailing Location
3309 CORAL HARBOR DR
LAS VEGAS
NV
891172309
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |