Individual
MARK GORDON VALLEJO SALVADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
6352 MEDICAL CENTER ST, LAS VEGAS, NV 89148-2413
(702) 541-6200
Mailing address
10624 S EASTERN AVE, APT 3-205, HENDERSON, NV 89052-2982
(702) 407-7700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002017
NV
Other
Enumeration date
08/30/2015
Last updated
04/11/2016
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