Individual
MARIE JOSEPHINE RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(631) 846-4235
Mailing address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(631) 846-4235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
310785
NY
164W00000X
Licensed Practical Nurse
Primary
870709
NV
Other
Enumeration date
07/09/2013
Last updated
05/21/2024
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