Individual
JHOMER ANGELO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6277 SANTANDER AVE, LAS VEGAS, NV 89103-2299
(702) 606-1975
Mailing address
6277 SANTANDER AVE, LAS VEGAS, NV 89103-2299
(702) 606-1975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821003
NV
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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