Most Relevant Information
Provider Data
| NPI Number: | 1003697525 |
| Provider Name: | SUSANA SUNGA TORNO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2023 |
| Last Updated: | 10/10/2023 |
Provider Practice Location
332 S DECATUR BLVD
LAS VEGAS
NV
891072804
Practice Location Phone/Fax
| Phone: | 7028164639 |
| Fax: |
Provider Mailing Location
332 S DECATUR BLVD
LAS VEGAS
NV
891072804
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |