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Individual

JESSE NAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8585 S EASTERN AVE STE 100, LAS VEGAS, NV 89123-2818
(702) 798-8585
Mailing address
1026 PARK BRIDGE AVE, LAS VEGAS, NV 89123-3658

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0115
LICENSE #
NV
Enumeration date
08/21/2006
Last updated
02/11/2019
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