Betty Jackson

NPI 1225312093 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1225312093
Gender Female
Enumeration Date 09/28/2011
Last Updated 09/25/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
4285 N RANCHO DR STE 160
LAS VEGAS NV, 89130-3456, US
Phone (702) 685-3459
Fax (702) 851-8258
Business Location
4285 N RANCHO DR STE 160
LAS VEGAS NV, 89130-3456, US
Phone (702) 685-3459
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Betty Jackson NPI is 1225312093, taxonomy code is 225400000X Betty Jackson physically located at 4285 N Rancho Dr Ste 160, Las Vegas NV, 89130-3456. NPI Number Betty Jackson has the Individual type.

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1225312093 NPI number is provided on an as is basis without warranty of any kind. 1225312093 is maintained by the National Plan & Provider Enumeration System. The contents of Betty Jackson are for informational purposes only.