Individual
MR. JERRY MARCUS KENNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA ABD
Contact information
Practice address
910 W OWENS AVE, LAS VEGAS, NV 89106-2516
(971) 240-0498
Mailing address
910 W OWENS AVE, LAS VEGAS, NV 89106-2516
(971) 240-0498
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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