Individual
MR. RAFAEL ROBERTO GONZALEZ PALOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4550 W. OAKEY BLVD, SUITE 111-0, LAS VEGAS, NV 89102
(702) 861-0238
Mailing address
824 S. SALEM DR, LAS VEGAS, NV 89107-3449
(702) 462-1040
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
NV20161065817
NV
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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