Individual
JENIFER MAWAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6265 HILL HAVEN AVE, LAS VEGAS, NV 89130-2347
(360) 281-6608
Mailing address
6265 HILL HAVEN AVE, LAS VEGAS, NV 89130-2347
(360) 281-6608
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15-1301
NV
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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