Individual
MARIA AGATHA JACKSON-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 N RANCHO DR STE 106, LAS VEGAS, NV 89130-3361
(951) 400-8548
Mailing address
2580 N RANCHO DR STE 106, LAS VEGAS, NV 89130-3361
(951) 400-8548
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
05/04/2023
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