Individual
JUNG SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
2395 RAINSWEPT AVE, HENDERSON, NV 89052-6440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
867984
NV
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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