JERICHO J.R. SAMATRA

LAS VEGAS, NV
NPI1124836564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
JERICHO J.R. SAMATRA BA
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130-3455
Phone number: 702-385-5331
Mailing Address
JERICHO J.R. SAMATRA BA
10100 ELIDA RD
DELPHOS, OH 45833-9056
Phone number: 419-695-8010
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