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Individual

AMELITA FANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
416 PARROT HILL AVE, NORTH LAS VEGAS, NV 89032-9071
(630) 400-3958
Mailing address
416 PARROT HILL AVE, NORTH LAS VEGAS, NV 89032-9071
(630) 400-3958

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN78872
NV

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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