Individual
ANIYA MCCULLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8090 S DURANGO DR # 1015, LAS VEGAS, NV 89113-4426
(702) 753-0827
Mailing address
8090 S DURANGO DR # 1015, LAS VEGAS, NV 89113-4426
(702) 753-0827
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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