Individual
DAWN LYTISHA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 E CHARLESTON BLVD APT 214, LAS VEGAS, NV 89104-2319
(520) 369-0944
Mailing address
3801 E CHARLESTON BLVD APT 214, LAS VEGAS, NV 89104-2319
(520) 369-0944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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