SearchNevada235Z00000X

Destiny Tambora

NPI 1649888579 · on the registry since 2020

Practice

Address
9618 Sir Owen Ct
Las Vegas, NV 89178
Phone
(702) 850-2691

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-12

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