Individual
JEANNE MUTONGERWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(702) 463-0300
Mailing address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(702) 463-0300
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
838925
NV
164X00000X
Licensed Vocational Nurse
VN205543
CA
Other
Enumeration date
08/24/2016
Last updated
01/05/2024
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