Individual
ETHEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 ASPINWALL CT, NORTH LAS VEGAS, NV 89081-6531
(856) 345-7883
Mailing address
3212 ASPINWALL CT, NORTH LAS VEGAS, NV 89081-6531
(856) 345-7883
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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