Julissa Ysabella Moreno Davila

NPI #1003493446 in Las Vegas, Nevada

Provider Information

NPI Number: 1003493446
Entity Type: Individual
Name: Julissa Ysabella Moreno Davila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 24, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 7743 CRYSTAL VILLAGE LN
City: Las Vegas
State: Nevada
ZIP Code: 89113-3243
Phone: (702) 265-9899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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