Individual
RYAN FULLENWILEY-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 W CHEYENNE AVE STE 102, NORTH LAS VEGAS, NV 89032-8930
(702) 405-8088
Mailing address
2535 W CHEYENNE AVE STE 102, NORTH LAS VEGAS, NV 89032-8930
(702) 405-8088
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95104375
CA
Other
Enumeration date
12/20/2019
Last updated
03/17/2023
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