Individual
TIA DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
9499 N CHARLESTON BLVD, SUITE 250, LAS VEGAS, NV 89117
(702) 933-3600
(702) 933-3601
Mailing address
9499 N CHARLESTON BLVD, SUITE 250, LAS VEGAS, NV 89117
(702) 933-3600
(702) 933-3601
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
94232
NV
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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