Individual
JENCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 W ANN RD, LAS VEGAS, NV 89130-1506
(866) 389-2727
Mailing address
7021 SPRING MOUNTAIN RD, LAS VEGAS, NV 89117-3818
(702) 803-2222
(702) 989-4755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
845702
NV
Other
Enumeration date
10/02/2021
Last updated
03/02/2022
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