Individual
FERNAN PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
Mailing address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
16258
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN16258
LPN LICENSE
NV
Enumeration date
10/13/2017
Last updated
10/13/2017
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