Jessica Idica

NPI 1225621923 · on the registry since 2021 · sole proprietor

Practice

Address: 150 E Harmon Ave
Las Vegas, NV 89109
Phone: (808) 341-6764
Organisation at this address: Ryan'S Pharmacy
Hmc Medical Center, Llc
Nawaz A. Qureshi Md Ltd
Elite Medical Center Llc
Valley Hospital Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada