Organization
TARVIANCE LOWE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARVIANCE LOWE (BASIC SKILL TRAINER)
(702) 504-4688
Entity
Organization
Contact information
Practice address
800 W BONANZA RD, LAS VEGAS, NV 89106-3525
(702) 504-4688
Mailing address
800 W BONANZA RD, LAS VEGAS, NV 89106-3525
(702) 504-4688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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