Individual
LA TOYA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 S FORT APACHE RD STE 135-105, LAS VEGAS, NV 89148-6752
(702) 203-1964
Mailing address
6545 S FORT APACHE RD STE 135-105, LAS VEGAS, NV 89148-6752
(702) 203-1964
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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