Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | NV20212230488 | NV |
NPI | 1063184935 |
---|---|
Provider Name | Mrs. Miki Ton |
First Address | Las Vegas, NV 89103-5873 |
Second Address | Las Vegas, NV 89103-5873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2021 |
Last Update Date | 29/09/2021 |