Individual
JEANNETTE LILLIAN MULHOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6256 BRYCE CANYON AVE, LAS VEGAS, NV 89156-5812
(702) 807-5319
Mailing address
6256 BRYCE CANYON AVE, LAS VEGAS, NV 89156-5812
(702) 807-5319
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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