Individual
MR. JULIO ARVIE MATA MADARAZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN-CNP, FNP-C
Contact information
Practice address
6284 CANVASBACK AVE, LAS VEGAS, NV 89122-3545
(408) 300-4540
Mailing address
6284 CANVASBACK AVE, LAS VEGAS, NV 89122-3545
(408) 300-4540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
810265
NV
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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