Individual
JADA BAKHTAWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 W CHARLESTON BLVD APT 164, LAS VEGAS, NV 89146-1095
(702) 350-6861
Mailing address
6501 W CHARLESTON BLVD APT 164, LAS VEGAS, NV 89146-1095
(702) 350-6861
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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