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Individual

BARTOLOME VILLANUEVA GAPUZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3305 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89102-8629
(725) 206-5714
Mailing address
3305 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89102-8629
(725) 206-5714

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/21/2022
Last updated
03/21/2022
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