Individual
WACONDA RENEE STELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3930 HOWARD HUGHES PKWY, LAS VEGAS, NV 89169-0943
(702) 560-2192
Mailing address
2710 CORAL CLIFFS CT, NORTH LAS VEGAS, NV 89031-0681
(702) 750-4151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN16453
NV
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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