Individual
LONI VANEECE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2546 SHATZ ST, LAS VEGAS, NV 89156-4912
(702) 824-8597
Mailing address
2546 SHATZ ST, LAS VEGAS, NV 89156-4912
(702) 824-8597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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