Individual
DONALD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(702) 463-0300
(702) 463-0301
Mailing address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(702) 463-0300
(702) 463-0301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
817245
NV
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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