Individual
LELANI FIATAU TEPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E HORIZON DR STE H, HENDERSON, NV 89015-8001
(702) 558-4686
Mailing address
220 E HORIZON DR STE H, HENDERSON, NV 89015-8001
(702) 577-5977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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