Most Relevant Information
Provider Data
| NPI Number: | 1003699737 |
| Provider Name: | RANEISHA CARLOS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/16/2023 |
| Last Updated: | 08/16/2023 |
Provider Practice Location
3301 N BUFFALO DR STE 180
LAS VEGAS
NV
891297449
Practice Location Phone/Fax
| Phone: | 7029323500 |
| Fax: |
Provider Mailing Location
3301 N BUFFALO DR STE 180
LAS VEGAS
NV
891297449
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |