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Serina Phanthalath

NPI 1730728973 · on the registry since 2020

Practice

Address
720 Marion Dr
Las Vegas, NV 89110
Phone
(619) 755-6348

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-06

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