JERAD UPWALL

LAS VEGAS, NV
NPI1609145820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-12-16
Last Update Date2015-09-25
Business Address
-- JERAD UPWALL
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
Mailing Address
-- JERAD UPWALL
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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