Tasha Tejada
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1154727329
StatusActive
Last updated in NPPESNov 14, 2014
Details
- NPI
- 1154727329
- Entity type
- Individual (NPI-1)
- Name
- Tasha Tejada
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2014
- Last updated
- Nov 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
2700 E Sunset RdB40
Las Vegas, NV 89120-3506
Phone 702-570-5100
Mailing address
2700 E Sunset RdB40
Las Vegas, NV 89120-3506
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