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Organization

ST ROSE PSYCHIATRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB MANJOORAN MD (OWNER)
(702) 480-7825
Entity
Organization

Contact information

Practice address
2219 VERSAILLES CT, HENDERSON, NV 89074-5304
(702) 480-7825
Mailing address
2219 VERSAILLES CT, HENDERSON, NV 89074-5304

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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