Individual
JESSICA MARION TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
(702) 942-1774
Mailing address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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