Individual
TIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PILOT RD, LAS VEGAS, NV 89119-3542
(702) 982-3292
Mailing address
6152 W HALEH AVE, LAS VEGAS, NV 89141-8966
(702) 334-9043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
859648
NV
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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