Individual
LOGAN RAY JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1831 STEVENS ST, LAS VEGAS, NV 89115-6312
(702) 493-0220
Mailing address
1831 STEVENS ST, LAS VEGAS, NV 89115-6312
(702) 466-3829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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