Racoma, Estela Oliva

Racoma, Estela Oliva is an individual health care provider with primary practice located at 2620 Acoma Ave , Pahrump NV 89048-4737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Racoma, Estela Oliva can be contacted via phone (775) 751-0754.

Contact Information

Primary practice address
2620 Acoma Ave Pahrump NV 89048-4737
Phone: (775) 751-0754
Fax: (775) 751-0405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6554 Nevada

Profile Details

NPI number 1215012406
LBN Legal business name Racoma, Estela Oliva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215012406 NPPES
Nevada Other 100509170 MEDICAID
Nevada MEDICAID 002019336 MEDICAID

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