Individual
LEVIN VANESSA RELUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9638 MOONLIT SKY AVE, LAS VEGAS, NV 89147-8406
(702) 969-2012
Mailing address
9638 MOONLIT SKY AVE, LAS VEGAS, NV 89147-8406
(702) 969-2012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
817155
NV
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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