Individual
DANIAL HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 213-8874
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 213-8874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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