SearchNevada101YM0800X

Latisha Jackson, BS

NPI 1487912580 · on the registry since 2012 · sole proprietor

Practice

Address
4417 Oasis Plains Ave
North Las Vegas, NV 89085
Phone
(702) 688-1470
Fax
(702) 688-1470
Organisation at this address
Camille Crawford Ccc Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-25

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