Joselo Vicuna Md Ltd | |
2031 Mcdaniel St Suite 130 North Las Vegas NV 89030-6303 | |
(702) 649-3135 | |
Not Available |
Full Name | Joselo Vicuna Md Ltd |
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Speciality | General Practice |
Location | 2031 Mcdaniel St, North Las Vegas, Nevada |
Authorized Official Name and Position | Joselo A Vicuna (MEMBER) |
Authorized Official Contact | 7029216829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joselo Vicuna Md Ltd 2031 Mcdaniel St Suite 130 North Las Vegas NV 89030-6303 Ph: (702) 649-3135 | Joselo Vicuna Md Ltd 2031 Mcdaniel St Suite 130 North Las Vegas NV 89030-6303 Ph: (702) 649-3135 |
NPI Number | 1235324369 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 12/07/2007 |
Identifier | Type | State | Issuer |
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1235324369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 3370 (Nevada) | Primary |
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