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Individual

SARA MARISOL GORDILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TECH

Contact information

Practice address
8410 RAFAEL RIVERA WAY, LAS VEGAS, NV 89113-5391
(702) 567-1920
Mailing address
15791 BEAR CREEK PKWY APT A430, REDMOND, WA 98052-1518
(747) 305-0032

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
1221244
NV
246W00000X
Cardiology Technician
1221244
NV

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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