Individual
MRS. SHAUNA TIATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 W WIGWAM AVE APT 1073, LAS VEGAS, NV 89123-6606
(702) 338-2757
Mailing address
2725 W WIGWAM AVE APT 1073, LAS VEGAS, NV 89123-6606
(702) 338-2757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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