Individual
JEFFREY SALVATORE GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 968-9372
Mailing address
773 WIGAN PIER DR, HENDERSON, NV 89002-6584
(702) 419-1925
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172V00000X
—
NV
Enumeration date
01/17/2018
Last updated
01/17/2018
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