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Individual

SAMANTHA PALOMER BALSOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 952-9171
(702) 952-9170
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
823754
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366085698
NV
01
823754
STATE LICENSE
NV
Enumeration date
10/18/2019
Last updated
11/01/2022
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