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Individual

PRINCESS T GUMBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 476-4900
(702) 476-4949
Mailing address
1801 W OLYMPIC BLVD # 1270, PASADENA, CA 91199-0001
(702) 476-4900
(702) 476-4949

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
810643
NV

Other

Enumeration date
04/12/2024
Last updated
05/25/2026
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