Individual ProviderJonathan Javier CoriaTechnicianNursing Service Related ProvidersPractice Address2615 Lynnwood St Apt 215, Las Vegas, NV 89109-1294(702) 758-0765PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Javier Coria does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487334058Provider TypeIndividualFull NameCoria, Jonathan JavierGenderMaleSole ProprietorNoEnumeration Date7/19/2023Last Updated7/19/2023Contact InformationPractice LocationPractice Address2615 Lynnwood St Apt 215, Las Vegas, NV 89109-1294Phone(702) 758-0765FaxUnlisted FaxMailing LocationMailing Address2615 Lynnwood St Apt 215, Las Vegas, NV 89109-1294PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer