Individual
STACI PARKS-NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 LA MONTANA ST, LAS VEGAS, NV 89108-6604
(702) 639-7580
Mailing address
2713 LA MONTANA ST, LAS VEGAS, NV 89108-6604
(702) 639-7580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RN65374
NV
163W00000X
Registered Nurse
Primary
RN65374
NV
Other
Enumeration date
01/19/2017
Last updated
04/20/2017
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