Individual
TIA LANIECE TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W ATLANTIC AVE, HENDERSON, NV 89015-7102
(702) 823-4300
(702) 906-1844
Mailing address
5628 RED BLUFF DR, LAS VEGAS, NV 89130-5111
(702) 428-2218
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
NV
2470A2800X
Assistant Health Information Record Technician
—
NV
Other
Enumeration date
06/07/2021
Last updated
06/24/2021
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