Individual
AMIRA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 E OAKEY BLVD # 110, LAS VEGAS, NV 89104-1403
(702) 686-3372
Mailing address
528 E OAKEY BLVD # 110, LAS VEGAS, NV 89104-1403
(702) 686-3372
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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