KONDRAD R TAN

LAS VEGAS, NV
NPI1750860284
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NV  181014)
Enumeration Date2018-08-06
Last Update Date2023-10-19
Business Address
KONDRAD R TAN MOT
4855 BLUE DIAMOND RD STE 210
LAS VEGAS, NV 89139-7602
Phone number: 725-207-3770
Mailing Address
KONDRAD R TAN MOT
6575 W TROPICANA AVE APT 1067
LAS VEGAS, NV 89103-4741
Phone number: 818-280-7468