PHELTON GERRARD JACKSON

NORTH LAS VEGAS, NV
NPI1649538836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
MR. PHELTON GERRARD JACKSON N/A
4417 OASIS PLAINS AVE
NORTH LAS VEGAS, NV 89085-2334
Phone number: 702-688-1407
Mailing Address
MR. PHELTON GERRARD JACKSON N/A
4417 OASIS PLAINS AVE
NORTH LAS VEGAS, NV 89085-2334
Phone number: 702-688-1470