Individual
JAYSON PAULO ALBERTO AGATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
3663 E SUNSET RD STE 104C, LAS VEGAS, NV 89120-3218
(725) 726-8216
(725) 726-8633
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 261-2237
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN001677
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN001677
NV
Other
Enumeration date
11/26/2013
Last updated
04/16/2024
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