HOME PROFESSIONAL NURSE PRACTITIONER LLC

LAS VEGAS, NV
NPI1669944484
Entity TypeOrganization
Authorized ContactMAE DEREQUITO LUECK
CEO
702-913-9380
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2018-12-18
Last Update Date2018-12-18
Business Address
HOME PROFESSIONAL NURSE PRACTITIONER LLC
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102-1928
Phone number: 702-913-9380
Mailing Address
HOME PROFESSIONAL NURSE PRACTITIONER LLC
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102-1928
Phone number: 702-913-9380
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