Individual
JAMES EZENWAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
855504
NV
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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