Individual
JORGE LUIS RIVERON CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 S HONOLULU ST, LAS VEGAS, NV 89104-4651
(702) 750-5754
Mailing address
1268 S HONOLULU ST, LAS VEGAS, NV 89104-4651
(702) 750-5754
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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