Individual
ERICKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 N NELLIS BLVD, 1101, LAS VEGAS, NV 89115-2725
(323) 527-2824
Mailing address
3975 N NELLIS BLVD, 1101, LAS VEGAS, NV 89115-2725
(323) 527-2824
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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