Individual
TAITIANA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1291 E. MT CHARLESTON DR. SO, UNIT A, PAHRUMP, NV 89048
(702) 534-8863
Mailing address
1291 E. MT CHARLESTON DR. SO #A, PAHRUMP, NV 89048
(702) 534-8863
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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