Individual
MR. JEROME EDWARD SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BMT
Contact information
Practice address
7949 HOLLOW PINE ST, LAS VEGAS, NV 89143-4613
(702) 824-2877
(702) 824-2877
Mailing address
8414 FARM RD STE 180-283, LAS VEGAS, NV 89131-8170
(702) 266-9941
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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