Individual
JEREMY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4423 W FLAMINGO RD, LAS VEGAS, NV 89103-3703
(817) 575-1113
Mailing address
4423 W FLAMINGO RD, LAS VEGAS, NV 89103-3703
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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