Individual
LANA SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 KELTIE BROOK DR, LAS VEGAS, NV 89141-3233
(725) 324-6740
Mailing address
3722 KELTIE BROOK DR, LAS VEGAS, NV 89141-3233
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRSS-5381
NV
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
About Stedi
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