Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist | 1536921 |
NPI | 1285081331 |
---|---|
Provider Name | Janet C Chao |
First Address | Las Vegas, NV 89120-3150 |
Second Address | Las Vegas, NV 89120-3150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2016 |
Last Update Date | 02/07/2020 |