Individual
TAYLOR SIMONE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 ROBIN OAKS DR, LAS VEGAS, NV 89117-0946
(702) 787-6192
Mailing address
9900 ROBIN OAKS DR, LAS VEGAS, NV 89117-0946
(702) 787-6192
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-5914
NV
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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