Individual
JAQUIN LARINE FIELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6849 W CHARLESTON BLVD STE B, LAS VEGAS, NV 89117-1649
(702) 980-2544
Mailing address
1861 PEAR HATPIN CT, LAS VEGAS, NV 89106
(702) 980-2544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN17257
NV
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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