Individual provider · Type 1 NPI

Tralice Jackson

Rehabilitation Practitioner · North Las Vegas, NV

NPI number 1083017297 Active

About NPI 1083017297

Tralice Jackson's National Provider Identifier is 1083017297, issued on Oct 1, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in North Las Vegas, NV. The record was last updated on Oct 1, 2014.