Individual
NASTASSJA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5155 S TORREY PINES DR APT 2150, LAS VEGAS, NV 89118-0648
(626) 404-8471
Mailing address
5155 S TORREY PINES DR APT 2150, LAS VEGAS, NV 89118-0648
(626) 404-8471
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20222408600
NV
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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