Individual
JERRELLE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8665 W FLAMINGO RD, #2000, LAS VEGAS, NV 89147-8621
(702) 735-9755
Mailing address
8665 W FLAMINGO RD, #2000, LAS VEGAS, NV 89147-8621
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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