Individual
JANISHA TRAMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 CHERTSEY DR UNIT C, LAS VEGAS, NV 89108-7010
(619) 517-8559
Mailing address
2031 CHERTSEY DR UNIT C, LAS VEGAS, NV 89108-7010
(619) 517-8559
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001055790
—
NV
Enumeration date
11/15/2012
Last updated
11/15/2012
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