Individual
MRS. SEQUOIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 CAMINO AL NORTE STE 230, NORTH LAS VEGAS, NV 89031-2391
(702) 690-9686
Mailing address
5135 CAMINO AL NORTE STE 210, NORTH LAS VEGAS, NV 89031-2391
(310) 951-2985
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NV
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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