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Phung Jefferson
NPI 1598107591 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1448 E Charleston Blvd
Las Vegas, NV 89104 - Phone
- (702) 401-3632
- Fax
- (702) 382-4071
- Organisation at this address
- Resurrection Enterprise, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Sex
- Female
- Record last updated
- 2013-07-19
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