Individual
JEROLD FREDERICK SOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 N EASTERN AVE, SUITE 110, LAS VEGAS, NV 89101-2883
(702) 772-4864
Mailing address
411 W ATLANTIC AVE, HENDERSON, NV 89015-7024
(702) 234-6896
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/31/2011
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