Individual
JERRY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
Mailing address
4375 TERRACE HILL RD, BLDG. 14 #203, LAS VEGAS, NV 89103-6402
(702) 234-6729
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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