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Angel Jackson
NPI 1174811863 · on the registry since 2011 · sole proprietor
Practice
- Address
- 480 Galletti Way
Sparks, NV 89431 - Phone
- (775) 333-0943
- Organisation at this address
- Nnamhs
Briarwood
State Of Nevada
State Of Nevada
State Of NevadaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 242
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada