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Individual

MRS. JOVINNE AMODIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA, BSN

Contact information

Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
3625 S DECATUR BLVD, APT 1044, LAS VEGAS, NV 89103-5813
(702) 236-7196

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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