JESSICA IDICA

LAS VEGAS, NV
NPI1225621923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NV  835143)
Enumeration Date2021-02-15
Last Update Date2021-02-15
Business Address
JESSICA IDICA
150 E HARMON AVE
LAS VEGAS, NV 89109-4533
Phone number: 808-341-6764
Mailing Address
JESSICA IDICA
12427 PINETINA ST
LAS VEGAS, NV 89141-3025
Phone number: 808-341-6764
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