Individual
DESHAUN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 GULF PINES AVE, LAS VEGAS, NV 89148-2838
(702) 672-8874
Mailing address
96 GULF PINES AVE, LAS VEGAS, NV 89148-2838
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
01/03/2024
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