Individual
DR. MYLENE B VICUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12460
NV
208D00000X
General Practice Physician
125048180
IL
Other
Enumeration date
04/17/2007
Last updated
08/27/2023
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