Individual
TAITEONA L IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E TROPICANA AVE, STE 199, LAS VEGAS, NV 89119
(725) 214-7776
Mailing address
3770 UNIVERSITY CENTER DR APT C202, LAS VEGAS, NV 89119-7595
(702) 292-7488
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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