Individual
JANYSHA WARDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Mailing address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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