Individual
MRS. SAMANTHA RAE SIOSON GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2950 E FLAMINGO RD STE JB, LAS VEGAS, NV 89121-5209
(818) 857-1393
Mailing address
3015 MOULIN HEIGHTS ST, LAS VEGAS, NV 89156-3791
(818) 857-1393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
859371
NV
Other
Enumeration date
01/08/2024
Last updated
02/17/2024
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