Individual
TANYA LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N BUFFALO DR, LAS VEGAS, NV 89128-0379
(702) 932-3500
Mailing address
911 N BUFFALO DR, LAS VEGAS, NV 89128-0379
(702) 932-3500
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235409509
—
NV
Enumeration date
11/07/2018
Last updated
08/06/2021
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