Individual
JESSILYN STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6275 BOULDER HWY APT 2104, LAS VEGAS, NV 89122-7702
(435) 632-9627
Mailing address
6275 BOULDER HWY APT 2104, LAS VEGAS, NV 89122-7702
(435) 632-9627
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/25/2011
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