Individual
MICHELLE TACASA LAZARY USHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E. DESERT INN RD. # D11, LAS VEGAS, NV 89109
(702) 339-4593
(187) 743-5603
Mailing address
4262 BLUE DIAMOND RD. #102-297, LAS VEGAS, NV 89139
(702) 339-4593
(187) 743-5603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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