Individual
PATRICIA SEALS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8321 W SAHARA AVE APT 2007, LAS VEGAS, NV 89117-1883
(702) 562-3569
Mailing address
8321 W SAHARA AVE APT 2007, LAS VEGAS, NV 89117-1883
(702) 562-3569
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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