Individual
MS. MOANA LYNN EASTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 HARRIS AVE, LAS VEGAS, NV 89110-2252
(702) 954-0052
Mailing address
4101 HARRIS AVE, LAS VEGAS, NV 89110-2252
(702) 954-0052
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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