Individual
JERRY ANN BALBOA GUMABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5216 BOULDER HWY, LAS VEGAS, NV 89122-6074
(702) 547-6764
Mailing address
5216 BOULDER HWY, LAS VEGAS, NV 89122-6074
(702) 547-6764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
824950
NV
Other
Enumeration date
02/17/2025
Last updated
06/14/2025
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