Individual
JOSE CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 ASTRONOMY CIR, LAS VEGAS, NV 89128-1649
(702) 471-8341
Mailing address
1421 ASTRONOMY CIR, LAS VEGAS, NV 89128-1649
(702) 471-8341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
850560
NV
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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