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Individual

JEREMIAH REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PCA

Contact information

Practice address
1785 E SAHARA AVE STE 485, LAS VEGAS, NV 89104-3757
(702) 562-2348
(702) 598-0010
Mailing address
3875 CAMBRIDGE ST APT 819, LAS VEGAS, NV 89119-7488
(702) 960-9269

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9005049778
NV
Enumeration date
02/20/2018
Last updated
09/11/2025
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