Individual
JENNASEN NARCISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6732 DIVERS LOONS ST, NORTH LAS VEGAS, NV 89084-2691
(702) 379-7571
Mailing address
6732 DIVERS LOONS ST, NORTH LAS VEGAS, NV 89084-2691
(702) 379-7571
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
09/15/2020
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