Individual
JAYRITA STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 VAN ERT AVE, NORTH LAS VEGAS, NV 89030-4023
(702) 600-5055
Mailing address
701 VAN ERT AVE, NORTH LAS VEGAS, NV 89030-4023
(702) 600-5055
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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