Individual
MS. LATWANSHREE QUEEN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6817
(323) 817-8558
Mailing address
21 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6817
(323) 817-8558
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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