Individual
NIESHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-7664
Mailing address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(347) 385-5600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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