Individual
ODESSA ALELEE RARANGOL PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
(702) 384-6493
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(808) 220-5499
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
PENDING
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2017
Last updated
05/16/2024
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