Individual
QUDREA JANINNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2291 S FORT APACHE RD STE 106, LAS VEGAS, NV 89117-5895
(702) 776-7766
Mailing address
2291 S FORT APACHE RD STE 106, LAS VEGAS, NV 89117-5895
(702) 776-7766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.11307
NV
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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