Individual
LISA VICTORIA PUALUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5794
(775) 783-4823
(775) 783-4806
Mailing address
1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5794
(775) 783-4823
(775) 783-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
861023
NV
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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