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Individual

MS. ODETTE G CARBONELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
3305 E ROME BLVD APT 2098, NORTH LAS VEGAS, NV 89086-1488
(773) 213-7958

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002852
NV

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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