Individual
TAWANDA IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 WHITNEY RANCH DR APT 2824, HENDERSON, NV 89014-3048
(323) 802-5615
Mailing address
1050 WHITNEY RANCH DR APT 2824, HENDERSON, NV 89014-3048
(323) 802-5615
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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