MR. Illyas Malik Jenkins

NPI #1841596731 in N Las Vegas, Nevada

Provider Information

NPI Number: 1841596731
Entity Type: Individual
Name: MR. Illyas Malik Jenkins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Feb 10, 2011
Last Updated: Mar 12, 2020

Practice Location

Address: 3450 W CHEYENNE AVE STE 300
City: N Las Vegas
State: Nevada
ZIP Code: 89032-8223
Phone: (954) 380-0875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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