JUSTAN DEGENEFFE

LAS VEGAS, NV
NPI1770132466
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: NV  181456)
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
JUSTAN DEGENEFFE
7676 SILVER BARON RD
LAS VEGAS, NV 89179-2070
Phone number: 702-406-2325
Mailing Address
JUSTAN DEGENEFFE
7676 SILVER BARON RD
LAS VEGAS, NV 89179-2070
Phone number: