Individual
LOU BRUNNEL ROLDAN TAYONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
811874
NV
Other
Enumeration date
06/22/2019
Last updated
12/29/2021
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