SearchNevada106H00000X

Andrea Khamvongsa

NPI 1962102525 · on the registry since 2023 · sole proprietor

Practice

Address
9644 Aqua Harbor Way
Las Vegas, NV 89178
Phone
(702) 595-4167

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-20

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