Individual
LAYMON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4770 SPHINX WAY APT 2139, LAS VEGAS, NV 89115-0726
(702) 517-8526
Mailing address
4770 SPHINX WAY APT 2139, LAS VEGAS, NV 89115-0726
(702) 517-8526
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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