Individual
JEFF NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 S JONES BLVD, LAS VEGAS, NV 89107-2614
(702) 838-7110
Mailing address
112 S JONES BLVD, LAS VEGAS, NV 89107-2614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1426
NV
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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