JOSE GERWALD-LICOURT

LAS VEGAS, NV
NPI1467007229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
JOSE GERWALD-LICOURT
2820 W CHARLESTON BLVD STE 36
LAS VEGAS, NV 89102-1934
Phone number: 702-362-0711
Mailing Address
JOSE GERWALD-LICOURT
2820 W CHARLESTON BLVD STE 36
LAS VEGAS, NV 89102-1934
Phone number: 702-362-0711
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