Individual
LAKEITHA ERNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4340 SIXTO ST, G103, LAS VEGAS, NV 89115-1641
(702) 445-2835
Mailing address
4340 SIXTO ST, G103, LAS VEGAS, NV 89115-1641
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
225400000X
NV
Other
Enumeration date
08/28/2013
Last updated
09/03/2013
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