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Individual

LASHON FREDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5028 DRIFTING CREEK AVE, LAS VEGAS, NV 89130-7098
(702) 503-7079
Mailing address
4780 W ANN RD STE 5-140, NORTH LAS VEGAS, NV 89031-3470
(702) 503-7079

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
332B00000X
Durable Medical Equipment & Medical Supplies
374J00000X
Doula
Primary

Other

Enumeration date
08/12/2013
Last updated
04/17/2026
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