SearchNevada311ZA0620X

January Blue

NPI 1750782595 · on the registry since 2014 · sole proprietor

Practice

Address
1013 Stoneypeak Ave
N Las Vegas, NV 89081
Phone
(702) 478-5252

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-15

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