Individual
JEROME CHRISTIAN MOSTAZA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6351 N FORT APACHE RD, LAS VEGAS, NV 89149-2300
(702) 515-3000
Mailing address
386 UMBRIA WAY, HENDERSON, NV 89014-5151
(702) 417-1438
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1724
NV
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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