Individual
DEBBIE SANICO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2820 W CHARLESTON BLVD STE 33, LAS VEGAS, NV 89102-1934
(702) 880-1558
Mailing address
2409 PLUMERIA AVE, NORTH LAS VEGAS, NV 89081-2685
(309) 826-8307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
832096
NV
Other
Enumeration date
09/23/2020
Last updated
09/10/2021
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