Individual
MRS. TAQUISHA LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S WATER ST, HENDERSON, NV 89015-2312
(702) 787-2488
Mailing address
6123 MEADOW VISTA LN, LAS VEGAS, NV 89103-1125
(702) 787-2488
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-2249312
INTERNAL REVENUE SERVICE
IL
01
—
84-2249312
IRS
NV
Enumeration date
07/12/2019
Last updated
07/12/2019
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