Individual
TIAUNA LOUISE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1956 WALKER ST, LAS VEGAS, NV 89106-2657
(702) 806-9410
Mailing address
1956 WALKER ST, LAS VEGAS, NV 89106-2657
(702) 806-9410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
CNA029054
NV
Other
Enumeration date
06/13/2012
Last updated
04/03/2013
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