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Individual

JAMIE LEE CICHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091
Mailing address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10376858-8905
UT
2084P0800X
Psychiatry Physician
Primary
17046
NV

Other

Enumeration date
04/11/2011
Last updated
06/24/2021
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