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MR. JATREYLLIS LAVAROUS MCCLOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
(702) 383-8335
Mailing address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
(702) 383-8335

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN17833
NV

Other

Enumeration date
10/09/2017
Last updated
10/09/2017
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