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FRANCINE HERETAKIS
OTHER

FRANCINE HERETAKIS is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1740573880. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8022286582. The primary specialty is CLINICAL SOCIAL WORKER. The organization is . The address is 6867 W CHARLESTON BLVD, SUITE B, LAS VEGAS, NV, 891171669. The zip code is 891171669.


Nation Provider ID1740573880
PAC ID by PECOS8022286582
Professional Enrollment IDI20110727000709
NameFRANCINE HERETAKIS
Medical School NameOTHER
Graduation Year1995
Primary SpecialtyCLINICAL SOCIAL WORKER
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address6867 W CHARLESTON BLVD, SUITE B, LAS VEGAS, NV, 891171669
Hospital affiliation LBN
Graduation Year1995
Contact Number7022857987
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]