Individual
MR. ILLYAS MALIK JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 W CHEYENNE AVE STE 300, N LAS VEGAS, NV 89032-8223
(954) 380-0875
Mailing address
5423 SUNNYVILLE ST, N LAS VEGAS, NV 89031-7986
(954) 380-0875
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/10/2011
Last updated
03/12/2020
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