Individual
ENDEEIA SHREE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 E CRAIG RD APT 2223, LAS VEGAS, NV 89115-2179
(702) 771-0091
Mailing address
3097 E WARM SPRINGS RD STE 400, LAS VEGAS, NV 89120-3757
(702) 850-8700
(702) 850-8707
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1601744335
NV
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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