Individual
GEORGENE TANEISHA GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113-3629
(702) 330-0555
Mailing address
6821 GREENSMEN AVE, LAS VEGAS, NV 89156-3788
(702) 723-2286
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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