Individual
JESSICA HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N RAINBOW BLVD, LAS VEGAS, NV 89107-1189
(702) 592-5425
Mailing address
800 N RAINBOW BLVD, LAS VEGAS, NV 89107-1189
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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