Individual
KYJANA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5816 CREEKSIDE SANDS LN, N LAS VEGAS, NV 89031-3645
(909) 856-9564
Mailing address
5816 CREEKSIDE SANDS LN, N LAS VEGAS, NV 89031-3645
(909) 856-9564
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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