MELVIN BANZON

LAS VEGAS, NV
NPI1952925513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NV  829626)
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
MELVIN BANZON
6765 W CHARLESTON BLVD STE 110
LAS VEGAS, NV 89146-2001
Phone number: 702-852-6633
Mailing Address
MELVIN BANZON
3095 TARPON DR
LAS VEGAS, NV 89120-1198
Phone number: 702-580-3157