Individual
MRS. DOROTHY JEAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 MARGO DR, LAS VEGAS, NV 89122-6627
(702) 286-7041
Mailing address
5151 MARGO DR, LAS VEGAS, NV 89122-6627
(702) 286-7041
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
NV20141173960
NV
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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