Individual
KENISHA RENEA TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9260 W SUNSET RD STE 110, LAS VEGAS, NV 89148-4903
(702) 916-6906
Mailing address
9260 W SUNSET RD STE 110, LAS VEGAS, NV 89148-4903
(702) 916-6906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
00004275
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/27/2023
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