Individual
TIAE PARKER-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 BARTON GREEN DR, LAS VEGAS, NV 89128-1680
(702) 541-4167
Mailing address
1224 BARTON GREEN DR, LAS VEGAS, NV 89128-1680
(702) 541-4167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN37964
NV
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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