Individual
ANTONIO LUIS DE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7921 HORSE BRIDLE ST, LAS VEGAS, NV 89131-1969
(714) 930-3785
Mailing address
7921 HORSE BRIDLE ST, LAS VEGAS, NV 89131-1969
(714) 930-3785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
896059
NV
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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