Individual
TANISHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 CAMDEN YARD CT, NORTH LAS VEGAS, NV 89030-4777
(225) 439-3823
Mailing address
828 CAMDEN YARD CT, NORTH LAS VEGAS, NV 89030-4777
(225) 439-3823
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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