Executive Las Vegas

NPI #1982150744 in Las Vegas, Nevada

Provider Information

NPI Number: 1982150744
Entity Type: Organization
Organization Name: Executive Las Vegas
Primary Specialty: Taxi
Enumeration Date: Aug 31, 2016
Last Updated: Aug 31, 2016

Practice Location

Address: 3950 W TOMPKINS AVE
City: Las Vegas
State: Nevada
ZIP Code: 89103-5524
Phone: (702) 646-4661

Authorized Official

Name: JAMES JOSEPH JIMMERSON
Title: PRESIDENT
Phone: (702) 949-5384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Taxi	344600000X	Primary

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