Individual
PAUL MARTIN T GUERRERO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5505 DUNSHEE VISTA AVE, LAS VEGAS, NV 89131-2026
(702) 768-3594
Mailing address
5505 DUNSHEE VISTA AVE, LAS VEGAS, NV 89131-2026
(702) 768-3594
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
819413
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/25/2020
Last updated
10/25/2020
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