Individual
MALAYSIA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PILOT RD, LAS VEGAS, NV 89119-3542
(702) 982-3292
Mailing address
4602 INLAND CT, LAS VEGAS, NV 89147-4705
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
858896
NV
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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