Individual
TYHESHA MARIE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 S JONES BLVD, LAS VEGAS, NV 89107-2657
(702) 822-1206
Mailing address
224 S JONES BLVD, LAS VEGAS, NV 89107-2657
(702) 822-1206
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
09/25/2013
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