Individual
CRYSTAL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 MOSSKAG CT, NORTH LAS VEGAS, NV 89032-7696
(702) 358-2155
Mailing address
1018 MOSSKAG CT, NORTH LAS VEGAS, NV 89032-7696
(702) 358-2155
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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