Individual
MISS TANYA LANE HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
811 GRIER DR, SUITE B, LAS VEGAS, NV 89119-3704
(800) 799-0526
Mailing address
811 GRIER DR, SUITE B, LAS VEGAS, NV 89119-3704
(800) 799-0526
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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