Individual
DOLORES RAYMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4018 E BALTIMORE AVE, LAS VEGAS, NV 89104-5240
(702) 432-9117
Mailing address
4018 E BALTIMORE AVE, LAS VEGAS, NV 89104-5240
(702) 432-9117
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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