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Contact Information

TIA D JACKSON, CST
9499 N CHARLESTON BLVD
SUITE 250
LAS VEGAS, NV89117
 Phone: 702-933-3600
 Fax: 702-933-3601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for TIA D JACKSON · (Female)

NPI # 1740473222
Status Active
Credentials CST
Entity Individual
Enumeration date 08/20/2007
Last updated 08/20/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 94232
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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