Organization
JOSELO VICUNA MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSELO A VICUNA MD (MEMBER)
(702) 921-6829
Entity
Organization
Contact information
Practice address
2031 MCDANIEL ST, SUITE 130, NORTH LAS VEGAS, NV 89030-6303
(702) 649-3135
Mailing address
2031 MCDANIEL ST, SUITE 130, NORTH LAS VEGAS, NV 89030-6303
(702) 649-3135
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3370
NV
Other
Enumeration date
09/11/2007
Last updated
12/07/2007
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