JERRY TAUSAGA PAUU

LAS VEGAS, NV
NPI1205105699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-12-14
Last Update Date2011-12-14
Business Address
-- JERRY TAUSAGA PAUU
8236 WILLOW CABIN ST
LAS VEGAS, NV 89131-1438
Phone number: 702-658-5143
Mailing Address
-- JERRY TAUSAGA PAUU
8236 WILLOW CABIN ST
LAS VEGAS, NV 89131-1438
Phone number: 702-658-5143