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Individual

JENNIFER LYNNE JOY CORNEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5320 S RAINBOW BLVD STE 250, LAS VEGAS, NV 89118-1896
(702) 671-6480
(702) 671-6481
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(818) 451-9016
(702) 895-4014

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-196
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992972293
NV
Enumeration date
05/15/2008
Last updated
11/09/2020
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