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Individual

SCHIQUTA LANET SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 201-1692
Mailing address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV

Other

Enumeration date
05/22/2018
Last updated
05/22/2018
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