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Organization

SOLACE MOBILE IV PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA QUIJANO PANGAN NP (NURSE PRACTITIONER)
(702) 526-6763
Entity
Organization

Contact information

Practice address
8899 LA MANGA AVE, LAS VEGAS, NV 89147-6022
(702) 526-6763
Mailing address
8899 LA MANGA AVE, LAS VEGAS, NV 89147-6022
(702) 526-6763

Taxonomy

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

Other

Enumeration date
10/24/2024
Last updated
01/08/2025
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