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NPI Code Detail

MEDICARE: JANNIFER HO

MEDICARE:   JANNIFER  HO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine Physician28865NV
2208D00000XGeneral Practice PhysicianA188233CA

General Provider Information

NPI Number : 1407506462
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNIFER HO
Provider Business Mailing Address
First Line : 2880 N TENAYA WAY FL 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2880 N TENAYA WAY FL 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0618
Country : US
Telephone Number : 702-962-9546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 02/16/2026

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Directions to “ JANNIFER HO ” Practice Location

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