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CONSOLACION SAQUETON SAQUETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 W CHARLESTON BLVD - UNIVERSITY MEDICAL CENTER, LAS VEGAS, NV 89102-2329
(702) 383-2420
(702) 383-8402
Mailing address
PO BOX 371540, LAS VEGAS, NV 89137-1540
(702) 383-2420
(702) 383-8402

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
9394
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101466763
PA
05
1489049
TX
05
20118174
NV
05
274900
OR
05
570805
AZ
05
8265969
WA
05
XPY197225
CA
Enumeration date
07/12/2006
Last updated
06/24/2019
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