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Jason Mccullough

NPI 1063145258 · on the registry since 2022 · sole proprietor

Practice

Address
928 Lewis Ct
Henderson, NV 89015
Phone
(909) 730-9457

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada