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Latayvia Shade, QBA

NPI 1619618543 · on the registry since 2022 · sole proprietor

Practice

Address
4288 Cartegena Way
Las Vegas, NV 89121
Phone
(615) 347-3115

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
101YM0800X
Sex
Female
Record last updated
2022-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada