Organization
JEANIENE A TALLEY MD A PROFESSIONAL
Active
Other names
Jateko Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIENE A TALLEY MD (PRESIDENT)
(702) 474-4110
Entity
Organization
Contact information
Practice address
3860 W ANN RD, N LAS VEGAS, NV 89031-4409
(702) 474-4110
Mailing address
PO BOX 92001, LAS VEGAS, NV 89193-2001
(702) 218-0268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10389
NV
Other
Enumeration date
01/23/2008
Last updated
08/02/2021
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