Individual
MRS. LORI L DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 VISTA DEL CIUDAD DR, MESQUITE, NV 89027-2203
(702) 346-5941
(702) 346-5941
Mailing address
1432 VISTA DEL CIUDAD DR, MESQUITE, NV 89027-2203
(702) 346-5941
(702) 346-5941
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NV20101444298
NV
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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