DAIVD MICAH HANSEN

LAS VEGAS, NV
NPI1578957080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence:   1884)
Enumeration Date2015-03-23
Last Update Date2015-08-19
Business Address
-- DAIVD MICAH HANSEN R.EEG T.
9811 W CHARLESTON BLVD # 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
Mailing Address
-- DAIVD MICAH HANSEN R.EEG T.
1000 S 800 E
OREM, UT 84097
Phone number: 801-921-3259
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