Individual
MS. JODI AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
4455 S PECOS RD STE C, LAS VEGAS, NV 89121-5029
(702) 234-4934
Mailing address
1771 ANTELOPE VALLEY AVE, HENDERSON, NV 89012-3408
(702) 234-4934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C15017
NV
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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