Individual
TYRESA JONHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 SPRING MOUNTAIN RD STE 107, LAS VEGAS, NV 89102-8628
(702) 487-5480
(702) 487-5535
Mailing address
3305 SPRING MOUNTAIN RD STE 107, LAS VEGAS, NV 89102-8628
(702) 487-5480
(702) 487-5535
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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