Individual
JAY SALAGUBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1409 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7120
(706) 657-5754
Mailing address
4241 WOODCREST RD, LAS VEGAS, NV 89121-4941
(702) 461-3561
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60918
NV
163WR0400X
Rehabilitation Registered Nurse
RN60918
NV
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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