Individual
TONI ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5733 CAPITOLA AVE, LAS VEGAS, NV 89108-4768
(702) 749-6332
(702) 749-6334
Mailing address
5733 CAPITOLA AVE, LAS VEGAS, NV 89108-4768
(702) 749-6332
(702) 749-6334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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