Individual
TISJANAE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 W CRAIG RD STE B, NORTH LAS VEGAS, NV 89032-5116
(702) 207-4458
Mailing address
5370 E CRAIG RD, LAS VEGAS, NV 89115-2100
(510) 480-8724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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