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Individual

ZEPHRA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1428 DESERT RIDGE AVE, NORTH LAS VEGAS, NV 89031-5003
(702) 206-2328
Mailing address
3428 CANTER DR, NORTH LAS VEGAS, NV 89032-2404
(702) 206-2328

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/28/2016
Last updated
09/28/2016
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