TAKEISHA HOGAN

LAS VEGAS, NV
NPI1871910422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2014-03-20
Last Update Date2014-03-20
Business Address
-- TAKEISHA HOGAN
1108 LEONARD AVE
LAS VEGAS, NV 89106-2430
Phone number: 702-910-0465
Mailing Address
-- TAKEISHA HOGAN
1108 LEONARD AVE
LAS VEGAS, NV 89106-2430
Phone number: 702-910-0465