Individual provider · Type 1 NPI

Angel Marie Jackson

Rehabilitation Practitioner · Sparks, NV

NPI number 1174811863 Active

Practice location

480 Galletti Way
Sparks, NV 89431-5564

Mailing address

2777 Northtowne Ln Apt 2075
Reno, NV 89512-5011

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1174811863

Angel Marie Jackson's National Provider Identifier is 1174811863, issued on Jul 14, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Sparks, NV. The record was last updated on Jul 14, 2011.