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Individual

TYRONZA PRESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3305 SPRING MOUNTAIN RD STE 107, LAS VEGAS, NV 89102-8628
(024) 875-4807
Mailing address
2020 PINTO LN, LAS VEGAS, NV 89106-4019
(702) 868-2901

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2100992776
NV
Enumeration date
06/18/2018
Last updated
10/30/2019
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