Healthcare Provider Details

I. General information

NPI: 1740832484
Provider Name (Legal Business Name): MRS. TAQUISHA LLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAQUISHA LLOYD TAQUISHA JONES

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S WATER ST
HENDERSON NV
89015-2312
US

IV. Provider business mailing address

6123 MEADOW VISTA LN
LAS VEGAS NV
89103-1125
US

V. Phone/Fax

Practice location:
  • Phone: 702-787-2488
  • Fax:
Mailing address:
  • Phone: 702-787-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: