Individual
JAZZMINE-ROSE BALUYOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3830 E FLAMINGO RD STE 100, LAS VEGAS, NV 89121-6234
(725) 269-1044
(725) 269-1046
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 682-0547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2962
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972092997
—
NV
01
—
DO2962
STATE LICENSE
NV
Enumeration date
05/04/2018
Last updated
08/07/2024
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