Individual
THANIA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5188 BELLARIA PL, LAS VEGAS, NV 89156-5676
(702) 793-3433
Mailing address
5188 BELLARIA PL, LAS VEGAS, NV 89156-5676
(702) 793-3433
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
844910
NV
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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