Organization
RENATO OLEDAN RABARA FNP-C LLC
Active
Other names
King Rey
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO OLEDAN RABARA APRN (OWNER)
(702) 677-0661
Entity
Organization
Contact information
Practice address
9958 CORBRIDGE ST, LAS VEGAS, NV 89178-3821
(702) 677-0661
(702) 854-9780
Mailing address
9958 CORBRIDGE ST, LAS VEGAS, NV 89178-3821
(702) 677-0661
(702) 854-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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