Individual
ILER JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 MCKNIGHT STREET, LAS VEGAS, NV 89101
(702) 387-1700
(702) 387-1701
Mailing address
3613 WOODGLEN COURT, LAS VEGAS, NV 89108
(702) 609-2958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-3558217
—
NV
Enumeration date
01/26/2012
Last updated
01/26/2012
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