Individual
JULIE MARIE WOODS LIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6090 S FORT APACHE RD STE 140, LAS VEGAS, NV 89148-5618
(702) 202-0534
Mailing address
10314 WOOD PLANK LN, LAS VEGAS, NV 89135-1104
(775) 530-3520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2567
NV
Other
Enumeration date
01/12/2022
Last updated
03/05/2025
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