MR. Jason Ealy
NPI #1306292610 in Boulder City, Nevada
Provider Information
- NPI Number
- 1306292610
- Entity Type
- Individual
- Name
- MR. Jason Ealy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- May 5, 2016
- Last Updated
- May 5, 2016
Practice Location
- Address
- 200 WILSON CIR
- City
- Boulder City
- State
- Nevada
- ZIP Code
- 89005-4401
- Phone
- (702) 436-1624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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