Individual
LAKEISHA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10009 BONTERRA AVE, LAS VEGAS, NV 89129-4078
(702) 207-4849
Mailing address
10009 BONTERRA AVE, LAS VEGAS, NV 89129-4078
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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