MARCUS JACKSON

NORTH LAS VEGAS, NV
NPI1720361652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies103TR0400X Psychologist, Rehabilitation
Enumeration Date2011-09-27
Last Update Date2011-09-27
Business Address
-- MARCUS JACKSON
320 PRINCESS AVE
NORTH LAS VEGAS, NV 89030-3809
Phone number: 702-573-5812
Mailing Address
-- MARCUS JACKSON
320 PRINCESS AVE
NORTH LAS VEGAS, NV 89030-3809
Phone number: