Individual
GEMMA CABULONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3742 KELTIE BROOK DR, LAS VEGAS, NV 89141-3233
(702) 821-5863
(702) 684-7788
Mailing address
3742 KELTIE BROOK DR, LAS VEGAS, NV 89141-3233
(702) 821-5863
(702) 684-7788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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