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Paul San Miguel Olivares

NPI 1972328367 · on the registry since 2024 · sole proprietor

Practice

Address
6865 Tamarus St Unit 202
Las Vegas, NV 89119
Phone
(702) 769-8529

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-20

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