Individual
DR. SIMONETA SUMAGUE SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 MARKS ST, HENDERSON, NV 89014-6654
(702) 383-6210
Mailing address
525 MARKS ST, HENDERSON, NV 89014-6654
(702) 383-6210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11492
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508627
—
NV
Enumeration date
03/27/2006
Last updated
10/13/2008
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