Individual
THERESA PEAHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3161 E WARM SPRINGS RD STE 400, LAS VEGAS, NV 89120-3144
(702) 463-6868
Mailing address
8107 HAYWOOD ESTATE AVE, LAS VEGAS, NV 89113-3681
(856) 430-7966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
838169
NV
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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