Individual
DAESHAWN ANTHONY NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 LAS VEGAS BLVD N, SUITE B, LAS VEGAS, NV 89115-1555
(702) 776-8397
Mailing address
3636 LAS VEGAS BLVD N, SUITE B, LAS VEGAS, NV 89115-1555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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