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Tralice Jackson
Rehabilitation Practitioner in North Las Vegas, Nevada
NPI 1083017297

Tralice Jackson is a Rehabilitation Practitioner based in North Las Vegas, NV. Tralice Jackson practices in North Las Vegas, NV. The NPI Number for Tralice Jackson is 1083017297 and holds a License No. (Nevada).

The current practice location address for Tralice Jackson is 5665 Mount Athos St, North Las Vegas, NV and can be reached out via phone at 702-773-3547.

Location: 5665 Mount Athos St, North Las Vegas, NV, 89031-3449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083017297
Provider Name
Tralice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5665 Mount Athos St, North Las Vegas, NV, 89031-3449
Phone Number
702-773-3547
Fax Number
Provider Enumeration Date
10/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5665 Mount Athos St
City
North Las Vegas
State
Nevada
Zip
89031-3449
Phone Number
702-773-3547
Fax Number
person
Provider Business Mailing Address Details
Address
5665 Mount Athos St
City
North Las Vegas
State
Nevada
Zip
89031-3449
Phone Number
702-773-3547
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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