Individual
LATOYA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1172 WARM CANYON WAY, LAS VEGAS, NV 89123-3601
(702) 499-0791
Mailing address
1172 WARM CANYON WAY, LAS VEGAS, NV 89123-3601
(702) 499-0791
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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