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Individual

MRS. ROSALBA RENTERIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
330 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4361
(702) 557-3228
(702) 557-3228
Mailing address
PO BOX 370971, 330 VALLEY VIEW BOULEVARD LAS VEGAS NV 89107, LAS VEGAS, NV 89137-0971

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
279863
NV
246RP1900X
Phlebotomy Technician
NY
261QA0600X
Adult Day Care Clinic/Center
NY
283Q00000X
Psychiatric Hospital
NV
283Q00000X
Psychiatric Hospital
NY

Other

Enumeration date
01/16/2015
Last updated
03/02/2021
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