Individual
MARCILLE JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1361 CADENCE ST, HENDERSON, NV 89052-6479
(702) 407-9866
Mailing address
1361 CADENCE ST, HENDERSON, NV 89052-6479
(702) 407-9866
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
74058-30
WI
163WA2000X
Administrator Registered Nurse
Primary
RN43932
NV
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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