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Individual

SHADIAMOND MAIDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2225 CIVIC CENTER DR STE 224, NORTH LAS VEGAS, NV 89030-6332
(702) 773-8315
(702) 852-0661
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(702) 220-9902

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-6177
NV

Other

Enumeration date
07/23/2025
Last updated
08/05/2025
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