Organization
AQUINO-VITALITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH AQUINO APRN (OWNER)
(702) 457-3888
Entity
Organization
Contact information
Practice address
3365 E FLAMINGO RD, STE 2, LAS VEGAS, NV 89121-6800
(702) 457-3888
(702) 974-2199
Mailing address
3365 E FLAMINGO RD, STE 2, LAS VEGAS, NV 89121-6800
(702) 457-3888
(702) 974-2199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001166
NV
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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