Individual
DR. SAMUEL ANTONIO MUJICA TRENCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3265 ROSANNA ST, LAS VEGAS, NV 89117-3137
(702) 205-1948
(702) 876-9181
Mailing address
3265 ROSANNA ST, LAS VEGAS, NV 89117-3137
(702) 205-1948
(702) 876-9181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5456
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002938
—
NV
Enumeration date
08/12/2005
Last updated
01/17/2008
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