Individual
REYLETH JOY BASA FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2845 SIENA HEIGHTS DR STE 2100, HENDERSON, NV 89052-4163
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
818429
NV
Other
Enumeration date
04/02/2019
Last updated
03/30/2020
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