CHANDRA S MOHANTY

LAS VEGAS, NV
NPI1801084843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2007-10-03
Last Update Date2022-03-09
Business Address
CHANDRA S MOHANTY CP,BOCO,FAAOP
400 SHADOW LN STE 110
LAS VEGAS, NV 89106-4355
Phone number: 702-800-6520
Mailing Address
CHANDRA S MOHANTY CP,BOCO,FAAOP
1043 ELM AVE STE 202
LONG BEACH, CA 90813-3244
Phone number: 562-432-2987
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