Individual
MRS. ROSE DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11565 LONE DESERT DR, 11565 LONE DESERT DR, RENO, NV 89506-5566
(775) 224-0136
Mailing address
11565 LONE DESERT DR, 11565 LONE DESERT DR, RENO, NV 89506-5566
(775) 224-0136
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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