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MR. RAFAEL ESPIQUE CALLANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
601 S RANCHO DR STE A6, LAS VEGAS, NV 89106-4898
(702) 386-0909
(702) 386-0707
Mailing address
1208 HUNT ST, LAS VEGAS, NV 89146-1443
(702) 498-9417

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
700891
NV
363LF0000X
Family Nurse Practitioner
Primary
001503
NV

Other

Enumeration date
03/11/2013
Last updated
04/12/2021
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