Individual provider · Type 1 NPI

Julissa Celisvictoria

Specialist · Alexandria, MN

NPI number 1114746583 Active

Practice location

1910 Aga Dr
Alexandria, MN 56308-1796

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114746583

Julissa Celisvictoria's National Provider Identifier is 1114746583, issued on Oct 3, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Alexandria, MN. The record was last updated on Oct 3, 2024.