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Individual

JAZZYLNN GASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1963 E PRATER WAY, SPARKS, NV 89434-8938
(775) 378-5536
Mailing address
5535 HIGHLINE, SUN VALLEY, NV 89433

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
552014206
NV
Enumeration date
03/04/2020
Last updated
10/28/2022
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Product
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  • EDI platform