Individual
JULISSA YSABELLA MORENO DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7743 CRYSTAL VILLAGE LN, LAS VEGAS, NV 89113-3243
(702) 265-9899
Mailing address
7743 CRYSTAL VILLAGE LN, LAS VEGAS, NV 89113-3243
(702) 265-9899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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