Individual
MS. ANGEL A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9526 MICHELLE FALLS AVE, LAS VEGAS, NV 89149-3727
(702) 773-5654
Mailing address
9526 MICHELLE FALLS AVE, LAS VEGAS, NV 89149-3727
(702) 772-6904
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NV
372500000X
Chore Provider
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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