Individual
STASIA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 E FLAMINGO RD, LAS VEGAS, NV 89121-5209
(725) 251-3854
Mailing address
2737 WOOD DRIFT ST, NORTH LAS VEGAS, NV 89030-4769
(702) 409-5982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
888560
NV
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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