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NPI Code Detail

MEDICARE: DR. JULIETTE E NZENE

MEDICARE:  DR. JULIETTE E NZENE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist20640NV

General Provider Information

NPI Number : 1275134892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIETTE E NZENE
Provider Business Mailing Address
First Line : 2502 DUNROBIN CT
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2210
Country : US
Telephone Number : 443-509-6544
Fax Number :
Provider Business Practice Location Address
First Line : 7445 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1538
Country : US
Telephone Number : 702-407-5513
Fax Number : 702-407-5591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2020
Last Update Date : 11/02/2020

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Directions to “ DR. JULIETTE E NZENE ” Practice Location

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