Individual
JALEN ISAIAH MCGRUDER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3143 REGAL OAK DR, HENDERSON, NV 89014-3121
(725) 600-2192
Mailing address
3143 REGAL OAK DR, HENDERSON, NV 89014-3121
(725) 600-2192
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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