Most Relevant Information
Provider Data
| NPI Number: | 1003684671 |
| Provider Name: | MATTHEW JARAMILLO LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 865143 |
Most Important Dates
| Enumeration Date: | 12/13/2023 |
| Last Updated: | 12/13/2023 |
Provider Practice Location
4423 W FLAMINGO RD
LAS VEGAS
NV
891033703
Practice Location Phone/Fax
| Phone: | 7024581137 |
| Fax: | 7024581423 |
Provider Mailing Location
5B RICKENBACKER RD
LAS VEGAS
NV
891152637
Provider Mailing Phone/Fax
| Phone: | 5052902749 |
| Fax: |