Individual
JACQUELYN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2306
(702) 961-8430
Mailing address
552 BECKTON PARK AVE, LAS VEGAS, NV 89178-2402
(702) 416-3246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1974
NV
Other
Enumeration date
06/24/2016
Last updated
07/30/2021
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