Individual
RIZA BARRAQUIAS LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W CHARLSTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
Mailing address
1800 W CHARLSTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
814-946
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814-946
NURSE PRACTITIONER LICENSE
NV
Enumeration date
10/29/2018
Last updated
03/07/2022
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