Individual
MAYRA MONTIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 W BONANZA RD, LAS VEGAS, NV 89106-4704
(702) 631-6860
Mailing address
7085 IPE WOOD RD, LAS VEGAS, NV 89148-5023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69268
NV
363LF0000X
Family Nurse Practitioner
Primary
860498
NV
Other
Enumeration date
10/03/2022
Last updated
10/07/2022
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