Organization
ST JUDE SLEEP SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYESEBEL GICA ALVARO CERTIFIED RESPIRATOR (RESPIRATORY THERAPIST/TECH)
(702) 885-3371
Entity
Organization
Contact information
Practice address
6268 S RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89118-3240
(702) 818-4008
(702) 818-5446
Mailing address
6268 S RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89118-3240
(702) 818-4008
(702) 818-5446
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
RC651
NV
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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