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Individual

ANNA MARGARITA PETILLA KISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5888 W SUNSET RD STE 103, LAS VEGAS, NV 89118-3453
(702) 382-3030
Mailing address
10508 NANTUCKET RIDGE AVE, LAS VEGAS, NV 89166-6525
(732) 570-0762

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN60594
NV

Other

Enumeration date
07/07/2025
Last updated
07/08/2025
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