Individual
EVELAINE MARIANNE DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 S EASTERN AVE STE 5, LAS VEGAS, NV 89119-6118
(956) 708-3985
Mailing address
4510 S EASTERN AVE STE 5, LAS VEGAS, NV 89119-6118
(956) 708-3985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
117278
TX
225X00000X
Occupational Therapist
Primary
17-0880
NV
Other
Enumeration date
01/20/2016
Last updated
02/25/2021
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