Individual
JALISA HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 N TORREY PINES DR APT 2018, LAS VEGAS, NV 89108-6506
(702) 619-1174
Mailing address
2200 N TORREY PINES DR APT 2018, LAS VEGAS, NV 89108-6506
(702) 619-1174
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255682480
—
NV
Enumeration date
09/27/2012
Last updated
12/10/2021
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