Individual
MR. RONALD LEO VAZQUEZ MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(818) 983-5393
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(818) 983-5393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
844873
NV
Other
Enumeration date
08/26/2021
Last updated
04/11/2022
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