Individual
SUSAN M CICCOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
240 S. HUMAHUACA, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Mailing address
2790 E. CACTUS ST, PAHRUMP, NV 89048-6206
(775) 751-7406
(775) 751-7409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28888
NV
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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