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Individual

DR. CAROLINE SENA BANFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0287
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12590
NV
208000000X
Pediatrics Physician
206291
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417179227
NV
Enumeration date
05/02/2007
Last updated
02/19/2024
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