Individual
JIL M GERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
5552 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-7694
(702) 641-8255
(702) 399-8255
Mailing address
5552 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-7694
(702) 641-8255
(702) 399-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP117
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402049
—
NV
Enumeration date
09/22/2006
Last updated
07/11/2012
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