PRITA TANDYASRAYA

NELLIS AFB, NV
NPI1144754979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: AZ  R76053)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  ME165558)
Enumeration Date2017-04-19
Last Update Date2023-11-03
Business Address
PRITA TANDYASRAYA M.D.
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3244
Mailing Address
PRITA TANDYASRAYA M.D.
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3244