Individual
HANNI HELENA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 E QUARTZ AVE UNIT B, SANDY VALLEY, NV 89019-8501
(702) 723-5388
(702) 723-5389
Mailing address
777 E QUARTZ AVE # 7012, SANDY VALLEY, NV 89019-8501
(702) 723-5388
(702) 723-5389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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