Organization
MAIORA AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA IDICA APRN, FNP-BC (MEDICAL DIRECTOR)
(808) 341-6764
Entity
Organization
Contact information
Practice address
5660 W.FLAMINGO RD., LAS VEGAS, NV 89103
(702) 423-1663
Mailing address
12427 PINETINA ST, LAS VEGAS, NV 89141
(808) 341-6764
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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