Individual
MA MARIANE GONDRANEOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3545 S FORT APACHE RD STE 130, LAS VEGAS, NV 89147-3441
(702) 553-1643
(702) 718-7991
Mailing address
3545 S FORT APACHE RD STE 130, LAS VEGAS, NV 89147-3441
(702) 553-1643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
868153
NV
Other
Enumeration date
06/12/2023
Last updated
04/01/2025
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