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Individual

SAMANTHA FONUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3930 HOWARD HUGHES PKWY, LAS VEGAS, NV 89169-0943
(702) 560-2191
Mailing address
4545 PENNWOOD AVE APT 163, LAS VEGAS, NV 89102-7230
(951) 850-4924

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
882322
NV

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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