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Keith Baldonado
NPI 1972896132 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2116 Mountain Glow Ave
North Las Vegas, NV 89031 - Phone
- (702) 321-6344
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-20
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