Individual
TAKIA 9512212723 ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9145 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-3308
(951) 221-2723
Mailing address
9145 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-3308
(951) 221-2723
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
886022
NV
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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