Individual
HAROLD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6427 COLLINGSWORTH ST, LAS VEGAS, NV 89131-2963
(702) 421-1259
Mailing address
2530 E FLAMINGO RD # 333, LAS VEGAS, NV 89121-5232
(916) 807-1292
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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