Individual
TALESHA LAVETTE MIDDLEBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S RANCHO DR STE E2B, LAS VEGAS, NV 89106-3812
(702) 586-2763
Mailing address
3904 IVERSON LN, NORTH LAS VEGAS, NV 89032-0611
(702) 502-9324
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
08/02/2024
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