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Individual

EDENLITA PANGILINAN ANTOLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
887231
NV

Other

Enumeration date
02/07/2025
Last updated
12/08/2025
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