Individual
DR. ESTELA OLIVA RACOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 ACOMA AVE, PAHRUMP, NV 89048-4737
(775) 751-0754
(775) 751-0405
Mailing address
2620 ACOMA AVE, PAHRUMP, NV 89048-4737
(702) 239-5836
(775) 751-0405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6554
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019336
—
NV
01
—
100509170
MEDICAID
NV
Enumeration date
10/26/2006
Last updated
03/14/2013
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