Individual
VYNOR QUIJANO BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 233-4950
Mailing address
11366 MCKINNEY FALLS ST, LAS VEGAS, NV 89141-3278
(702) 523-8844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
810244
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
810244
NV
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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