Individual
TASHONDRA KIOKA JACKSON-ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7473 W LAKE MEAD BLVD, STE 100, LAS VEGAS, NV 89128-0265
(702) 483-7503
Mailing address
3450 ERVA ST, APT 204-P, LAS VEGAS, NV 89117-6300
(702) 285-8884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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