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Jaquelin Grosso

NPI 1487266599 · on the registry since 2020 · sole proprietor

Practice

Address
4555 E Sahara Ave Unit 259
Las Vegas, NV 89104
Phone
(725) 227-0277
Clinicians at this address
3

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
106S00000X
Licence states on file
NULL, NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-12

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