Individual
JAZMIN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9629 BIGHORN RANCH AVE, LAS VEGAS, NV 89148-4221
(702) 969-8608
Mailing address
PO BOX 335334, NORTH LAS VEGAS, NV 89033-5334
(702) 969-8608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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