Individual
ANDY JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 CASTELL CANYON ST, LAS VEGAS, NV 89113-5314
(725) 312-1902
Mailing address
5325 S FORT APACHE RD STE D4, LAS VEGAS, NV 89148-4665
(725) 312-1902
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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