Individual
TABITHA DELACRUZ AGNIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 MELBOURNE WAY, LAS VEGAS, NV 89115-8141
(702) 557-9344
Mailing address
3901 MELBOURNE WAY, LAS VEGAS, NV 89115-8141
(702) 557-9344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
821531
NV
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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