Individual
MR. CHRISTOPHER PAUL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3708 GILMORE CREEK ST, LAS VEGAS, NV 89129-7906
(702) 373-2354
Mailing address
3708 GILMORE CREEK ST, LAS VEGAS, NV 89129-7906
(702) 373-2354
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
88784
NV
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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