Individual
JEFF ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8220 GAREHIME ST, LAS VEGAS, NV 89131-0204
(702) 460-3089
Mailing address
8220 GAREHIME ST, LAS VEGAS, NV 89131-0204
(702) 460-3089
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
NV20141061583
NV
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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