Individual
KRISTIN DIFUNTORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
230 N NELLIS BLVD STE B, LAS VEGAS, NV 89110-6003
(702) 360-8070
Mailing address
333 SANTA FE ST, LAS VEGAS, NV 89145-5327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1072
NV
Other
Enumeration date
07/29/2020
Last updated
11/17/2020
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