Individual
MS. PHUNG HORTON JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1705
(702) 401-3632
(702) 382-4071
Mailing address
1448 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1705
(702) 401-3632
(702) 382-4071
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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