Individual
JAHIR TREYVONT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2163 DENEVI DR, SPARKS, NV 89434-3457
(775) 432-1035
(775) 384-6685
Mailing address
1075 HARBOR TOWN CIR, SPARKS, NV 89436-1821
(775) 432-1035
(775) 384-6685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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