Individual
DV'NN JA'JWAN COOKS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1450 N MAIN ST, LAS VEGAS, NV 89101
(702) 307-4635
Mailing address
1450 N MAIN STREET, LAS VEGAS, NV 89101
(702) 307-4635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3122
NV
Other
Enumeration date
11/25/2024
Last updated
11/26/2024
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