Individual
LEQUION ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5117 SAFFRON DR, LAS VEGAS, NV 89142-2578
(323) 377-6481
Mailing address
5117 SAFFRON DR, LAS VEGAS, NV 89142-2578
(323) 377-6481
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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