Individual
SVETLANA VILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8436
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SL1214
NV
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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