Individual
JACQUELYN VILLAGOMEZ DANESHFOROUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8530 W SUNSET RD STE 230, LAS VEGAS, NV 89113
(702) 483-4483
(702) 483-4493
Mailing address
2863 SAINT ROSE PKWY, HENDERSON, NV 89052-4806
(702) 483-4483
(702) 493-0357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
01/22/2026
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