Individual
NATASHI BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6571 CLEAR PEAK CT, LAS VEGAS, NV 89156-3720
(702) 612-2839
Mailing address
6571 CLEAR PEAK CT, LAS VEGAS, NV 89156-3720
(702) 612-2839
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181045451
NV
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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