JEROME SANTOS JACKSON

LAS VEGAS, NV
NPI1639678196
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2018-02-09
Last Update Date2018-02-09
Business Address
JEROME SANTOS JACKSON
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106-2144
Phone number: 702-595-8309
Mailing Address
JEROME SANTOS JACKSON
2051 N TORREY PINES DR APT 2042
LAS VEGAS, NV 89108-6526
Phone number: