Individual
MARQUIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 DUMONT BLVD APT B251, LAS VEGAS, NV 89169-4269
(702) 350-9860
Mailing address
1000 DUMONT BLVD APT B251, LAS VEGAS, NV 89169-4269
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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