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Individual

JALIYAH LE-TRICE LA'SHAY DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4348 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 825-1010
Mailing address
2421 HASSETT AVE, LAS VEGAS, NV 89104-4218
(702) 931-8544

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/04/2025
Last updated
07/04/2025
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