MEDICARE: DR. JESSICA LITTIER DURSO D.C.

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
1	111N00000X	Chiropractor	B01476	NV

General Provider Information

NPI Number	:	1679826606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA LITTIER DURSO D.C.

Provider Business Mailing Address
First Line	:	6730 MONTEZUMA CASTLE LN
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-1229
Country	:	US
Telephone Number	:	702-608-3362
Fax Number	:

Provider Business Practice Location Address
First Line	:	6462 LOSEE RD
Second Line	:	STE 135
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-0104
Country	:	US
Telephone Number	:	702-608-3362
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2012
Last Update Date	:	07/25/2016

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