Individual
KANISHA ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 N ROOP ST, CARSON CITY, NV 89701-3113
(775) 841-6050
Mailing address
1636 SAWTOOTH TRL, RENO, NV 89523-6818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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