Individual
JACOB HENRY DE RONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 653-3808
Mailing address
360 N ARROYO GRANDE BLVD APT 1116, HENDERSON, NV 89014-3972
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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