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Individual

MR. JEYSOM JOSE KUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
7155 S RAINBOW BLVD STE 200, LAS VEGAS, NV 89118-3271
(702) 780-6677
Mailing address
7155 S RAINBOW BLVD STE 200, LAS VEGAS, NV 89118-3271
(702) 780-6677

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
17-631
WI
363LF0000X
Family Nurse Practitioner
Primary
F10220503
NV

Other

Enumeration date
02/05/2018
Last updated
01/31/2025
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