Individual
MR. JASON EALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
(702) 436-1624
Mailing address
2685 S RAINBOW BLVD, LAS VEGAS, NV 89146-5182
(702) 436-1624
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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