Individual
JORGE JEFFREY THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2209 PORT ANTONIO CT, NORTH LAS VEGAS, NV 89031-0936
(702) 462-1876
Mailing address
2209 PORT ANTONIO CT, NORTH LAS VEGAS, NV 89031-0936
(702) 462-1876
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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