Cornell Leon Jefferson
Cornell Leon Jefferson is a Mental Illness Community Based Residential Treatment Facility in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.
- Licensed in
- NV
- In the registry since
- 2012
Practice location Address checks out
4915 E Russell Rd Apt 125Las Vegas, NV 89120-2387
Phone: (702) 788-0091
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 320800000X (NV) |
|---|
Record details
| NPI number | 1396004263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2012 |
| Last updated in NPPES | May 11, 2012 |
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