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Individual

JOHN RENDELL SAULOG CALDEJON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9198 DESERT HEAT AVE, LAS VEGAS, NV 89178-6218
(702) 688-0022
Mailing address
9198 DESERT HEAT AVE, LAS VEGAS, NV 89178-6218
(702) 688-0022

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN67997
NV
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN67997
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
884594
NV

Other

Enumeration date
08/22/2024
Last updated
11/27/2024
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