Individual
JAMIEL WATTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 SHADOW LANE, LAS VEGAS, NV 89106-4194
(702) 388-8436
(702) 388-8431
Mailing address
620 SHADOW LANE, LAS VEGAS, NV 89106-4194
(702) 388-8436
(702) 388-8431
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SL0825
NV
Other
Enumeration date
06/02/2011
Last updated
08/07/2015
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