KRIS THANESJESDAPONG

LAS VEGAS, NV
NPI1760120448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NV  PA2828)
Enumeration Date2022-05-23
Last Update Date2024-03-27
Business Address
KRIS THANESJESDAPONG
8192 SORREL ST
LAS VEGAS, NV 89139-6905
Phone number: 702-588-3306
Mailing Address
KRIS THANESJESDAPONG
8192 SORREL ST
LAS VEGAS, NV 89139-6905
Phone number:
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