Organization
NEVADA STATE FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN JAUREGUI NURSE PRACTIONER (MANAGING MEMBER)
(702) 266-7277
Entity
Organization
Contact information
Practice address
3815 S. JONES BLVD STE. 1, LAS VEGAS, NV 89103
(702) 431-3122
(702) 558-2090
Mailing address
3815 S. JONES BLVD STE. 1, LAS VEGAS, NV 89103
(702) 431-3122
(702) 558-2090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN000962
NV
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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