Individual
ANTONIA COFUENTES NOBELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(702) 463-0300
Mailing address
5227 MAID MARIAN LN, LAS VEGAS, NV 89122-7449
(702) 417-7291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17314
NV
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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