Organization
JUANIDAD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO B ESTANISLAO M.D. (PRESIDENT)
(702) 254-8215
Entity
Organization
Contact information
Practice address
209 DALMATIAN LN, LAS VEGAS, NV 89107-2304
(702) 254-8215
(702) 254-8215
Mailing address
209 DALMATIAN LN, LAS VEGAS, NV 89107-2304
(702) 254-8215
(702) 254-8215
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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