Individual
GINY NACOLE TANNAHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 E LAKE MEAD BLVD APT 2148, LAS VEGAS, NV 89156-1160
(719) 464-9815
Mailing address
6901 E LAKE MEAD BLVD APT 2148, LAS VEGAS, NV 89156-1160
(719) 464-9815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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