Individual
MS. CARISSA MAE BACENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
8180 S RAINBOW BLVD UNIT 355, LAS VEGAS, NV 89139-8005
(702) 350-4270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN92713
NV
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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