Individual
ROSELINE AGBETORWOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102-1633
(702) 478-5541
Mailing address
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102-1633
(702) 478-5541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
818290
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338661
—
NV
Enumeration date
08/16/2019
Last updated
08/16/2019
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