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Search › Nevada › 225400000X

Orlando Illustrisimo

NPI 1245628171 · on the registry since 2014

Practice

Address
3680 N Rancho Dr
Las Vegas, NV 89130
Phone
(702) 646-5437
Fax
(702) 396-4193
Organisation at this address
Eagle Quest
Eagle Quest
Eagle Quest
No Sole Proprietor
Majestic Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
391

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Male
Record last updated
2014-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada