Individual
TASHAE DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
609 ORR AVE, N LAS VEGAS, NV 89030-5688
(702) 688-2079
(702) 658-8702
Mailing address
609 ORR AVE, N LAS VEGAS, NV 89030
(702) 688-2079
(702) 658-8702
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
7368HIC-0
NV
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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