Individual
MONIQUE MICHELLE AGUILAR DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1104 GREENBANK ST, LAS VEGAS, NV 89110-1414
(503) 484-4997
Mailing address
1104 GREENBANK ST, LAS VEGAS, NV 89110-1414
(503) 484-4997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
878635
NV
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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