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Organization
GOOD SAMARITAN TRANSITIONAL CARE & WOUND SPECIALIST
Active
Organization
GOOD SAMARITAN TRANSITIONAL CARE & WOUND SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON ELY VILLACRUCIS (MANAGER)
(702) 332-3967
Entity
Organization
Contact information
Practice address
9280 W SUNSET RD STE 410, LAS VEGAS, NV 89148-4862
(702) 476-5114
(888) 593-0305
Mailing address
9280 W SUNSET RD STE 410, LAS VEGAS, NV 89148-4862
(702) 476-5114
(888) 593-0305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/26/2026
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