NPI 1043587942

Jesus Magno

Practitioner Contractor Las Vegas, NV

Practice location

Address: 3004 Cedar St, Las Vegas, NV 89104-4408
Phone: (702) 457-1048

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1043587942
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2011
Record last updated: 20 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.