Individual
TONY DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4424 LOMA CT, LAS VEGAS, NV 89130-5204
(702) 373-1651
Mailing address
7900 TOLBERTS MILL DR, LAS VEGAS, NV 89131-1461
(253) 205-6574
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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