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Individual

JUAN CARLOS PALMA JORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2560 S MARYLAND PKWY STE 12, LAS VEGAS, NV 89109-1672
(832) 677-4685
Mailing address
2109 HARBOR CLIFF DR, LAS VEGAS, NV 89128-7460
(832) 677-4685

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
834743
NV

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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