Individual
KINTANA TORRES WIXOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3835 S JONES BLVD, LAS VEGAS, NV 89103-7125
(702) 880-4193
Mailing address
3835 S JONES BLVD, LAS VEGAS, NV 89103-7125
(021) 880-4193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
854431
NV
Other
Enumeration date
05/05/2022
Last updated
06/10/2022
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