Individual
JADE MICHELLE JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1807 W CRAIG RD, NORTH LAS VEGAS, NV 89032-0217
(702) 633-6532
Mailing address
3927 MONTONE AVE, LAS VEGAS, NV 89141-8798
(702) 499-7130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18412
NV
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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