THANAPATH THANTACHEVA

LAS VEGAS, NV
NPI1326624834
Other NameDAVID THANTACHEVA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
THANAPATH THANTACHEVA DO
3100 N TENAYA WAY
LAS VEGAS, NV 89128-0442
Phone number: 702-962-5000
Mailing Address
THANAPATH THANTACHEVA DO
7335 ARROWROCK AVE
LAS VEGAS, NV 89179-1252
Phone number: 702-985-4381