JACOB TANNER WOOD

LAS VEGAS, NV
NPI1619736337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-15
Last Update Date2024-03-15
Business Address
JACOB TANNER WOOD DO
3100 N TENAYA WAY
LAS VEGAS, NV 89128-0442
Phone number: 702-962-5000
Mailing Address
JACOB TANNER WOOD DO
3100 N TENAYA WAY
LAS VEGAS, NV 89128-0442
Phone number: 702-962-5000