Individual
DIANA LINDA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 MARTIN LUTHER KING BLVD, 207, LAS VEGAS, NV 89032
(702) 684-7757
(702) 684-7391
Mailing address
3925 N.MARTIN LUTHER KING BLVD.#207, N. LAS VEGAS, NV 89032
(702) 684-7757
(702) 684-7381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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