Individual
MR. JONATHAN PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7465 W LAKE MEAD BLVD, SUITE 100, LAS VEGAS, NV 89128-1032
(702) 658-9563
Mailing address
8189 RIBBON EDGE ST, LAS VEGAS, NV 89139-6964
(702) 824-5066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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