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Justan Degeneffe

NPI 1770132466 · on the registry since 2019 · sole proprietor

Practice

Address
7676 Silver Baron Rd
Las Vegas, NV 89179
Phone
(702) 406-2325

Registry record

Primary taxonomy
2080P0006X
2080P0006X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-18

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