Individual
JOHANNA CORAL DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2443
Mailing address
10174 LONGORIA ST, LAS VEGAS, NV 89178-8047
(702) 461-1829
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRN002726
NV
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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