Individual
JESSICA N ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ARVILLE ST, LAS VEGAS, NV 89102-3840
(725) 212-7444
(702) 565-1020
Mailing address
204 W PACIFIC AVE, HENDERSON, NV 89015-7376
(702) 565-1020
(702) 565-1020
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NV
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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