Individual
JEROME POWELL-POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8329 FAWN MEADOW AVE, LAS VEGAS, NV 89149-4513
(725) 251-0750
Mailing address
8329 FAWN MEADOW AVE, LAS VEGAS, NV 89149-4513
(725) 251-0750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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