Individual
JULIA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
Mailing address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
174239
MO
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
174239
MO
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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