Organization
VITALIS WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DELA PAZ (OWNER)
(909) 910-2804
Entity
Organization
Contact information
Practice address
3062 CONQUISTA CT, LAS VEGAS, NV 89121-3829
(702) 673-1930
Mailing address
3062 CONQUISTA CT, LAS VEGAS, NV 89121-3829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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