Individual
TIFFANY C DOUGLASS-WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
6524 BIRDCALL ST # K1133, NORTH LAS VEGAS, NV 89084-2918
(702) 559-6565
Mailing address
6524 BIRDCALL ST # K1133, NORTH LAS VEGAS, NV 89084-2918
(702) 559-6565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
827963
NV
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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