JACQUELYNN ANN THREAT

LAS VEGAS, NV
NPI1407127756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NV  0506166)
Enumeration Date2012-01-18
Last Update Date2012-01-18
Business Address
-- JACQUELYNN ANN THREAT ATC
2725 W WIGWAM AVE APT. 1108
LAS VEGAS, NV 89123-6603
Phone number: 415-533-4085
Mailing Address
-- JACQUELYNN ANN THREAT ATC
2725 W WIGWAM AVE APT. 1108
LAS VEGAS, NV 89123-6603
Phone number: 415-533-4085