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Individual

DR. CANDICE DEGUZMAN FORTUNATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 N RAINBOW BLVD, STE 300, LAS VEGAS, NV 89107-1082
(702) 439-3309
(702) 947-6740
Mailing address
500 N RAINBOW BLVD, STE 300, LAS VEGAS, NV 89107-1082
(702) 439-3309
(702) 947-6740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14750
NV
208000000X
Pediatrics Physician
14750
NV
208M00000X
Hospitalist Physician
Primary
14750
NV

Other

Enumeration date
05/08/2009
Last updated
08/07/2013
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