Individual
JONAH GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LOLA AVE, NORTH LAS VEGAS, NV 89030-5650
(702) 813-8677
Mailing address
3752 N WALNUT RD, LAS VEGAS, NV 89115-0322
(702) 813-8677
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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