Individual
HUSSAYN BOUMELHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7626 AVILA BEACH AVE, LAS VEGAS, NV 89113-0774
(702) 349-4975
Mailing address
7626 AVILA BEACH AVE, LAS VEGAS, NV 89113-0774
(702) 349-4975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
854508
NV
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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