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1013395912
LISA NIWA YMBALLA
LAS VEGAS, NV
NPI
1013395912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV APRN001907)
Enumeration Date
2015-05-11
Last Update Date
2020-05-20
Business Address
LISA NIWA YMBALLA FNP
8116 LAS VEGAS BLVD S
LAS VEGAS, NV 89123-1015
Phone number: 702-407-7063
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Mailing Address
LISA NIWA YMBALLA FNP
8116 LAS VEGAS BLVD S
LAS VEGAS, NV 89123-1015
Phone number: 702-407-7063
Copy
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