Individual
MS. TANYA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
6720 REXBURG CIR, LAS VEGAS, NV 89107-2458
(702) 306-6754
Mailing address
6720 REXBURG CIR, LAS VEGAS, NV 89107-2458
(702) 306-6754
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ALPP ID 205751
MA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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