Individual
RAIYANA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 MEZPAH ST, LAS VEGAS, NV 89106-1965
(702) 336-5258
Mailing address
1005 MEZPAH ST, LAS VEGAS, NV 89106-1965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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