Individual
JARED FALETOI FAUATEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9129 W DESERT INN RD APT 108, LAS VEGAS, NV 89117-6332
(702) 834-5508
Mailing address
9129 W. DESERT INN RD. APT 108, LAS VEGAS, NV 89117-6332
(702) 834-5508
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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