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Individual

TAYENTA RENEA HOLLIE-LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10697 W CENTENNIAL PKWY, LAS VEGAS, NV 89166-1706
(725) 309-0415
Mailing address
10697 W CENTENNIAL PKWY, LAS VEGAS, NV 89166-1706
(725) 309-0415

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/19/2021
Last updated
01/13/2026
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