Individual
MALAIKA TAMU HADLEY JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6644 JORDAN RIVER DR, LAS VEGAS, NV 89156
(702) 306-0571
Mailing address
6644 JORDAN RIVER DR, LAS VEGAS, NV 89156-3745
(702) 306-0571
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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