Individual
MR. JESUS MARAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 N CRESTLINE DR, LAS VEGAS, NV 89107-1396
(702) 877-9799
Mailing address
705 N CRESTLINE DR, LAS VEGAS, NV 89107-1396
(702) 877-9799
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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