Individual
DEBORAH RENEE RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 DAVENPORT LN, LAS VEGAS, NV 89107-2453
(702) 913-3950
Mailing address
413 DAVENPORT LN, LAS VEGAS, NV 89107-2453
(702) 913-3950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
838138
NV
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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