Individual
MYRNA BALUYUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3373 HORIZON ST, LAS VEGAS, NV 89121-3506
(702) 577-7043
Mailing address
3373 HORIZON ST, LAS VEGAS, NV 89121-3506
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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