Provider Demographics
NPI:1942920509
Name:ZHEN, GUO
Entity Type:Individual
Prefix:
First Name:GUO
Middle Name:
Last Name:ZHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7692 SCOBY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-4880
Mailing Address - Country:US
Mailing Address - Phone:702-682-3312
Mailing Address - Fax:
Practice Address - Street 1:3920 E PATRICK LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3927
Practice Address - Country:US
Practice Address - Phone:702-476-5597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion