Individual
JENNIFER ASTUDILLO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 W CHARLESTON BLVD STE 77, LAS VEGAS, NV 89102-1910
(702) 823-3910
Mailing address
4612 MAYFLOWER LN, LAS VEGAS, NV 89107-2950
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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