Individual
MR. JOHN PAOLO ESTANISALO DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9320 W SAHARA AVE, LAS VEGAS, NV 89117-5351
(702) 383-3850
Mailing address
9320 W SAHARA AVE, LAS VEGAS, NV 89117-5351
(702) 383-3850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
816856
NV
Other
Enumeration date
10/12/2022
Last updated
09/24/2024
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