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Individual

JESUS HERNANDEZ MALFAVON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4326 W CHEYENNE AVE, N LAS VEGAS, NV 89032-2484
(702) 636-7000
(702) 636-1952
Mailing address
4326 W CHEYENNE AVE STE 100, N LAS VEGAS, NV 89032-2484
(702) 636-7000

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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