Individual
MISS KOKISHA SHADAY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 E SAHARA AVE APT 300, LAS VEGAS, NV 89104-6342
(909) 566-6267
Mailing address
2860 E FLAMINGO RD STE C, LAS VEGAS, NV 89121-5270
(702) 562-3355
(702) 369-8284
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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