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ZELLUYAH GAITHO APN GNP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZELLUYAH GAITHO (NURSE PRACTITIONER)
(702) 569-5410
Entity
Organization

Contact information

Practice address
10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
(702) 569-5410
Mailing address
10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
(702) 569-5410

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN001242
NV
363LG0600X
Gerontology Nurse Practitioner
APN001242
NV

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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