Individual
JASMINE L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 EUROPEAN DR, HENDERSON, NV 89052-4021
(702) 285-0494
Mailing address
1385 EUROPEAN DR, HENDERSON, NV 89052-4021
(702) 285-0494
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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