Individual
JEDD CUARESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
149 N GIBSON RD, HENDERSON, NV 89014-6760
(702) 558-6275
(702) 856-3198
Mailing address
7224 PORTIA CT, LAS VEGAS, NV 89113-0247
(702) 289-8048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3864
NV
Other
Enumeration date
10/03/2018
Last updated
05/27/2021
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