Individual
MR. JACKSON S MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
972 RUE GRAND PARADIS LN, HENDERSON, NV 89011-0102
(702) 897-0752
Mailing address
972 RUE GRAND PARADIS LN, HENDERSON, NV 89011-0102
(702) 897-0752
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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