Individual
JUSTAN DEGENEFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7676 SILVER BARON RD, LAS VEGAS, NV 89179-2070
(702) 406-2325
Mailing address
7676 SILVER BARON RD, LAS VEGAS, NV 89179-2070
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
181456
NV
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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