Individual
DAYMOND TYRONE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 VIA APPIANNA, HENDERSON, NV 89052-3945
(702) 882-4403
Mailing address
1117 VIA APPIANNA, HENDERSON, NV 89052
(702) 882-4403
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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