Individual
JONATHAN MARC CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 WAKEFIELD AVE, LAS VEGAS, NV 89183-5155
(808) 227-4401
Mailing address
265 WAKEFIELD AVE, LAS VEGAS, NV 89183-5155
(808) 227-4401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
11/21/2025
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