Individual
JERRY JANDOQUILE GALLARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6125 W SAHARA AVE STE 1B, LAS VEGAS, NV 89146-3037
(702) 248-0554
(888) 631-5152
Mailing address
6125 W SAHARA AVE STE 1B, LAS VEGAS, NV 89146-3037
(702) 248-0554
(888) 631-5152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
853514
NV
Other
Enumeration date
05/02/2022
Last updated
05/03/2022
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