Individual
ANTHONY TAIWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 E SAHARA AVE, LAS VEGAS, NV 89104-3707
(312) 371-6267
Mailing address
1810 E SAHARA AVE, LAS VEGAS, NV 89104-3707
(312) 371-6267
(702) 834-6890
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/14/2018
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