Individual
TYSHAWN FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 PROSPECT ST, LAS VEGAS, NV 89108-5425
(702) 689-8775
Mailing address
3925 PROSPECT ST, LAS VEGAS, NV 89108-5425
(702) 689-8775
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306595061
—
NV
Enumeration date
02/13/2023
Last updated
02/13/2023
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