Individual
JACQUELINE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 CASA NORTE DR UNIT 2064, NORTH LAS VEGAS, NV 89031-3344
(702) 353-2467
Mailing address
PO BOX 335613, NORTH LAS VEGAS, NV 89033-5613
(702) 353-2467
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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