Provider Demographics
NPI:1386300200
Name:TEJONES, ARNEL (REGISTERED NURSE)
Entity type:Individual
Prefix:MR
First Name:ARNEL
Middle Name:
Last Name:TEJONES
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 S PECOS RD STE 118
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2829
Mailing Address - Country:US
Mailing Address - Phone:626-233-2148
Mailing Address - Fax:
Practice Address - Street 1:6550 S PECOS RD STE 118
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2829
Practice Address - Country:US
Practice Address - Phone:626-233-2148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA621334163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice