Individual
JENNIFER HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 CHASEMOOR ST, PAHRUMP, NV 89061-7750
(702) 756-9718
Mailing address
5400 CHASEMOOR ST, PAHRUMP, NV 89061-7750
(702) 756-9718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005051915
—
NV
Enumeration date
04/18/2011
Last updated
04/18/2011
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