JEANIENE A TALLEY MD A PROFESSIONAL

N LAS VEGAS, NV
NPI1356528103
Doing Business AsJATEKO FAMILY MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJEANIENE A TALLEY
President
702-474-4110
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NV  10389)
Enumeration Date2008-01-23
Last Update Date2021-08-02
Business Address
JEANIENE A TALLEY MD A PROFESSIONAL
3860 W ANN RD
N LAS VEGAS, NV 89031-4409
Phone number: 702-474-4110
Mailing Address
JEANIENE A TALLEY MD A PROFESSIONAL
PO BOX 92001
LAS VEGAS, NV 89193-2001
Phone number: 702-218-0268