Individual
JESSIE ANNA MARIE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 788-1838
Mailing address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 788-1838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104322171
—
NV
Enumeration date
05/03/2018
Last updated
05/03/2018
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