Individual
TONYA DEDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 E FLAMINGO RD, LAS VEGAS, NV 89119-5170
(702) 936-6321
Mailing address
2250 E FLAMINGO RD, LAS VEGAS, NV 89119-5170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
181036
NV
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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