Individual
JASMIN QUILLOSA MATUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
4360 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7783
(702) 407-0524
Mailing address
4360 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7783
(702) 407-0524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
842643
NV
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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