Individual
JOSE CAMERINO MAGANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 MARKS ST, HENDERSON, NV 89014-6654
(702) 547-6678
(702) 547-6874
Mailing address
540 MARKS ST, HENDERSON, NV 89014-6654
(702) 547-6678
(702) 547-6874
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
619
NV
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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