Most Relevant Information
Provider Data
| NPI Number: | 1003676057 |
| Provider Name: | UNKNOWN ABBAS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
1701 W CHARLESTON BLVD STE 230
LAS VEGAS
NV
891022312
Practice Location Phone/Fax
| Phone: | 7026763650 |
| Fax: | 7026763635 |
Provider Mailing Location
1701 W CHARLESTON BLVD STE 230
LAS VEGAS
NV
891022312
Provider Mailing Phone/Fax
| Phone: | 7026763650 |
| Fax: | 7026763635 |