Individual
JENNIFER LOIACANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 W CHARLESTON BLVD STE 111, LAS VEGAS, NV 89146-1067
(702) 302-2266
Mailing address
7948 MENELAUS AVE, LAS VEGAS, NV 89131-3574
(702) 581-0602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0000101113
NV
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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