Individual
DONTE RAY JASAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5079 W MOBERLY AVE, LAS VEGAS, NV 89139-0142
(702) 526-3073
Mailing address
5079 W MOBERLY AVE, LAS VEGAS, NV 89139-0142
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/21/2012
Last updated
07/21/2012
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