Individual
SIMEON VALENTIN BOGACON ULEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8530 W SUNSET RD STE 310, LAS VEGAS, NV 89113-2215
(702) 936-8710
Mailing address
8530 W SUNSET RD STE 310, LAS VEGAS, NV 89113-2215
(702) 936-8710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
865073
NV
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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