Individual
TAKEISHA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 LEONARD AVE, LAS VEGAS, NV 89106-2430
(702) 910-0465
Mailing address
1108 LEONARD AVE, LAS VEGAS, NV 89106-2430
(702) 910-0465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/20/2014
Last updated
01/20/2026
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