Individual
MR. RUEL MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3750 S JONES BLVD STE 100, LAS VEGAS, NV 89103-2209
(702) 444-7744
(702) 444-7898
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 971-2300
(702) 903-4447
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
816895
NV
Other
Enumeration date
01/28/2019
Last updated
05/10/2021
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