Individual
TA'SHARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 E TROPICANA AVE STE 199, LAS VEGAS, NV 89119-8323
(725) 214-7776
(725) 214-7768
Mailing address
5921 WINDY SANDS CT, LAS VEGAS, NV 89110-1897
(725) 256-7153
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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