Individual
MR. JAY JAY MAGTOTO JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1321 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89146-9047
(702) 476-2287
(702) 476-2975
Mailing address
1321 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89146-9047
(702) 476-2287
(702) 476-2975
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1304
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN00001304
APN LICENSE
NV
01
—
CS19512
CONTROLLED SUBSTANCE NUMBER
NV
Enumeration date
08/17/2011
Last updated
03/07/2023
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