Individual
MAKEDA HAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E AZURE AVE APT 1041, NORTH LAS VEGAS, NV 89081-6871
(702) 504-7876
Mailing address
650 E AZURE AVE APT 1041, NORTH LAS VEGAS, NV 89081-6871
(702) 504-7876
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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