Individual
KAISHA AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 W WIGWAM AVE APT 1057, LAS VEGAS, NV 89123-6605
(717) 300-9084
Mailing address
2725 W WIGWAM AVE APT 1057, LAS VEGAS, NV 89123-6605
(717) 300-9084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
825777
NV
Other
Enumeration date
06/10/2022
Last updated
06/17/2022
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