Individual
LARAINE JEANNE DYCHIOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2000
Mailing address
27727 SUMMER GROVE PL, VALENCIA, CA 91354-1895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
852092
NV
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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