Individual
MRS. MARIA LIZA YUTUC LIWANAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(702) 463-0300
(702) 463-0301
Mailing address
1245 RARITAN PL, HENDERSON, NV 89002-3457
(714) 213-0779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
841657
NV
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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