Individual
JAMIE MACANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 W SAHARA AVE STE D106, LAS VEGAS, NV 89146-0846
(702) 365-0600
Mailing address
7777 S JONES BLVD APT 1280, LAS VEGAS, NV 89139-6163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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