Individual
JADE AGUILAR GRAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 DEERFIELD AVE, LAS VEGAS, NV 89147-4542
(702) 752-0710
Mailing address
4006 DEERFIELD AVE, LAS VEGAS, NV 89147-4542
(702) 752-0710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
876196
NV
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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