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Miriam Fanga
NPI 1063919991 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4895 Boulder Hwy # 100
Las Vegas, NV 89121 - Phone
- (702) 898-5264
Registry record
- Primary taxonomy
- 3336C0003X
3336C0003X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada