Individual
MICHELLE OCULAM TIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3835 S JONES BLVD, SUITE 104, LAS VEGAS, NV 89103-7125
(702) 880-4193
(702) 880-4197
Mailing address
3835 S JONES BLVD, SUITE 104, LAS VEGAS, NV 89103-7125
(702) 880-4193
(702) 880-4197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0814358
NV
Other
Enumeration date
12/08/2014
Last updated
03/10/2015
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