NPI 1003493446

Julissa Ysabella Moreno Davila

Practitioner Specialist Las Vegas, NV

Practice location

Address: 7743 Crystal Village Ln, Las Vegas, NV 89113-3243
Phone: (702) 265-9899

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1003493446
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2021
Record last updated: 24 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.