Individual
CHERUBIM COSTA IBARRIENTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(725) 334-3276
Mailing address
4104 REDFIELD AVE, NORTH LAS VEGAS, NV 89032-2697
(575) 390-8924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
842043
NV
163WH0200X
Home Health Registered Nurse
Primary
842043
NV
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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