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Individual

ALISON LUCAS BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11342 QUANTUM BROOKS ST, LAS VEGAS, NV 89183-5024
(707) 704-7700
Mailing address
11342 QUANTUM BROOKS ST, LAS VEGAS, NV 89183-5024
(707) 704-7700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024006435
NV

Other

Enumeration date
04/02/2024
Last updated
04/15/2024
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