Individual
JACIA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3174 CAMERON ST, LAS VEGAS, NV 89102-7113
(702) 296-7463
Mailing address
3174 CAMERON ST, LAS VEGAS, NV 89102-7113
(702) 296-7463
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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