LUNA S OUL

NELLIS AFB, NV
NPI1568987311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54810)
Enumeration Date2017-08-12
Last Update Date2020-01-13
Business Address
LUNA S OUL PA-C
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2344
Mailing Address
LUNA S OUL PA-C
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2344
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