Individual
OCEAN CHALIZA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5067 MADRE MESA DR, UNIT 2057, LAS VEGAS, NV 89108-3535
(424) 204-3416
(800) 783-6931
Mailing address
5067 MADRE MESA DR, UNIT 2057, LAS VEGAS, NV 89108-3535
(424) 204-3416
(800) 783-6931
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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