NPI 1336762525
Mashiko Jenny Tavares, MDMPHRST
Practice location
- Address
- 1711 Songlight Court, Las Vegas, NV 89117
- Phone
- (702) 450-1120
- Fax
- (702) 304-8255
- Mailing address
- 45 Sunglow Lane, Las Vegas, NV 89135
Registered specialties
Sleep Specialist (PhD)
Primary
Registry record
- NPI
- 1336762525
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 May 2020
- Record last updated
- 21 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.