Individual
ERIN M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY, BLDG. 8B, 8C, SPARKS, NV 89431-5564
(775) 324-1490
Mailing address
4865 PRADERA ST, SPARKS, NV 89436-0676
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0801286001
NV
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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