Individual
JUANCHO SALES TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8116 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-1015
(702) 407-7063
Mailing address
8116 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-1015
(702) 407-7063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
831828
NV
363LP2300X
Primary Care Nurse Practitioner
831828
NV
Other
Enumeration date
06/24/2020
Last updated
08/26/2021
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