Most Relevant Information
Provider Data
| NPI Number: | 1003472432 |
| Provider Name: | JACIA PRICE |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2019 |
| Last Updated: | 05/10/2019 |
Provider Practice Location
3174 CAMERON ST
LAS VEGAS
NV
891027113
Practice Location Phone/Fax
| Phone: | 7022967463 |
| Fax: |
Provider Mailing Location
3174 CAMERON ST
LAS VEGAS
NV
891027113
Provider Mailing Phone/Fax
| Phone: | 7022967463 |
| Fax: |