Most Relevant Information
Provider Data
| NPI Number: | 1003683897 |
| Provider Name: | TENDAI GOMBE-LANE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 81777 |
Most Important Dates
| Enumeration Date: | 12/11/2023 |
| Last Updated: | 12/11/2023 |
Provider Practice Location
4423 W FLAMINGO RD
LAS VEGAS
NV
891033703
Practice Location Phone/Fax
| Phone: | 7024581137 |
| Fax: |
Provider Mailing Location
4423 W FLAMINGO RD
LAS VEGAS
NV
891033703
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |