Alicisia Clarissa Jackson

NPI 1790107076 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1790107076
Gender Female
Enumeration Date 01/06/2014
Last Updated 01/06/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
1941 NAPOLEON DR
LAS VEGAS NV, 89156-7187, US
Phone (702) 438-8452
Fax (702) 438-2981
Business Location
1941 NAPOLEON DR
LAS VEGAS NV, 89156-7187, US
Phone (702) 438-8452
Fax (702) 438-2981
Toxanomy
Taxonomy Code 225400000X
License State
License Number
Remove 1790107076 NPI Number
 

According to our database, Miss Alicisia Clarissa Jackson NPI is 1790107076, taxonomy code is 225400000X Alicisia Clarissa Jackson physically located at 1941 Napoleon Dr, Las Vegas NV, 89156-7187. NPI Number Alicisia Clarissa Jackson has the Individual type.

Sponsored links

1790107076 NPI number is provided on an as is basis without warranty of any kind. 1790107076 is maintained by the National Plan & Provider Enumeration System. The contents of Alicisia Clarissa Jackson are for informational purposes only.