Individual
JIMMY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3185 MOUNTAIN SPRING RD, LAS VEGAS, NV 89146-7915
(702) 338-4129
Mailing address
3185 MOUNTAIN SPRING RD, LAS VEGAS, NV 89146-7915
(702) 338-4129
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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