Individual
MARANDA LAKEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(702) 463-0300
Mailing address
3825 CRAIG CROSSING DR APT 1100, NORTH LAS VEGAS, NV 89032-1259
(702) 969-9673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN17634
NV
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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