Individual
JAZZMAINE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 WATER HAZARD LN, LAS VEGAS, NV 89148-5261
(216) 855-3411
Mailing address
191 WATER HAZARD LN, LAS VEGAS, NV 89148-5261
(216) 855-3411
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
843709
NV
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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