Organization
ST RAFAEL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GONZALEZ (OWNER)
(702) 461-5741
Entity
Organization
Contact information
Practice address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
(702) 461-5741
Mailing address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
04/26/2023
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