Individual
SEVYN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 RIDERWOOD AVE, N LAS VEGAS, NV 89032-0670
(310) 216-8074
Mailing address
4612 CATFISH BEND RD, N LAS VEGAS, NV 89031-4242
(310) 216-8074
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NV20243092257
NV
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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