GREGORY JEFFERSON

Contractor

Active Individual
NPI: 1639946080

Practice Address

314 FOREMASTER LN
Las Vegas, NV 89101

Phone: (702) 857-8800

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1639946080 is the National Provider Identifier for GREGORY JEFFERSON, a Contractor provider located in Las Vegas, NV. This NPI was enumerated on December 6, 2023.
GREGORY JEFFERSON practices at 314 FOREMASTER LN, Las Vegas, NV 89101.

Quick Facts

NPI
1639946080
Type
Individual
Enumerated
Dec 6, 2023
Last Updated
Dec 6, 2023

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