PHOUTHASSAK KIAN NACHAMPASSAK

LAS VEGAS, NV
NPI1578228649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-11-03
Last Update Date2021-11-03
Business Address
PHOUTHASSAK KIAN NACHAMPASSAK
2780 S JONES BLVD
LAS VEGAS, NV 89146-5628
Phone number: 702-333-1488
Mailing Address
PHOUTHASSAK KIAN NACHAMPASSAK
6202 ELMIRA DR
LAS VEGAS, NV 89118-1412
Phone number:
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