Individual
GAYLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 RUE TOULOUSE AVE, HENDERSON, NV 89044-0416
(214) 995-4954
(702) 656-5685
Mailing address
2624 RUE TOULOUSE AVE, HENDERSON, NV 89044-0416
(214) 995-4954
(702) 656-5685
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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