Individual
MARK ANTHONY BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
HIGHWAY 12 & 7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
6657 AUTUMN BREEZE ST, LAS VEGAS, NV 89148-5321
(505) 550-0230
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
816301
NV
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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