Individual
LACONNIE ESTELLE GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5060 SUBLIGHT AVE, LAS VEGAS, NV 89108-4059
(702) 927-8683
Mailing address
5060 SUBLIGHT AVE, LAS VEGAS, NV 89108-4059
(702) 927-8683
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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