SearchNevada246ZS0410X

Tia Jackson, CST

NPI 1740473222 · on the registry since 2007

Practice

Address
9499 N Charleston Blvd
Suite 250
Las Vegas, NV 89117
Phone
(702) 933-3600
Fax
(702) 933-3601

Registry record

Primary taxonomy
246ZS0410X
246ZS0410X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-20

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