Most Relevant Information
Provider Data
| NPI Number: | 1003437930 |
| Provider Name: | LIDIA TRUJILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2020 |
| Last Updated: | 05/01/2020 |
Provider Practice Location
1745 N NELLIS BLVD STE A
LAS VEGAS
NV
891153673
Practice Location Phone/Fax
| Phone: | 7024597500 |
| Fax: |
Provider Mailing Location
1745 N NELLIS BLVD STE A
LAS VEGAS
NV
891153673
Provider Mailing Phone/Fax
| Phone: | 7024597500 |
| Fax: |