Individual
JENESSA DAWN BRANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3244 RIDGECLIFF ST, LAS VEGAS, NV 89129-8126
(702) 305-1434
Mailing address
3244 RIDGECLIFF ST, LAS VEGAS, NV 89129-8126
(702) 305-1434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1619
NV
Other
Enumeration date
08/20/2013
Last updated
08/17/2020
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