Basic Information
| Provider Information | |||||||||
| NPI: | 1992172183 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCCLEESE | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | JEREE | ||||||||
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| Credential: | CPHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2880 BICENTENNIAL PARKWAY | ||||||||
| Address2: | STE 100 #114 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890444484 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023438173 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8285 W ARBY AVE | ||||||||
| Address2: | HEALTHCARE PARTNERS | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027357154 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2015 | ||||||||
| LastUpdateDate: | 08/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183700000X | PT13925 | NV | Y | Pharmacy Service Providers | Pharmacy Technician |
No ID Information.