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Individual

MISS DEASHA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
730 W CHEYENNE AVE STE 30, NORTH LAS VEGAS, NV 89030-7849
(702) 633-7923
(702) 633-7610
Mailing address
730 W CHEYENNE AVE STE 30, NORTH LAS VEGAS, NV 89030-7849
(702) 633-7923
(702) 633-7610

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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