Individual
DANA UNIQUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3896 SWENSON ST, LAS VEGAS, NV 89119-7408
(562) 328-9563
Mailing address
3896 SWENSON ST, LAS VEGAS, NV 89119-7408
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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