Tyeasha Govan
Technician, Personal Care Attendant in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1982252375
StatusActive
Last updated in NPPESAug 28, 2019
Details
- NPI
- 1982252375
- Entity type
- Individual (NPI-1)
- Name
- Tyeasha Govan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2019
- Last updated
- Aug 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | NV | Yes |
Practice location
2415 Reynolds Ave Ste 100North Las Vegas, NV 89030-7278
Phone 702-722-1229
Mailing address
2415 Reynolds Ave Ste 100North Las Vegas, NV 89030-7278
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