Individual
JULIANNE DE MEDICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 PROUD EAGLE LN, LAS VEGAS, NV 89144-0912
(702) 724-5416
Mailing address
601 PROUD EAGLE LN, LAS VEGAS, NV 89144-0912
(702) 724-5416
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1255648309
NV
Other
Enumeration date
09/10/2010
Last updated
02/02/2018
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