MEDICARE: MISS DARSHAE LATOI PIERCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	NV20201836335	NV

General Provider Information

NPI Number	:	1992312995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DARSHAE LATOI PIERCE

Provider Business Mailing Address
First Line	:	3175 E WARM SPRINGS RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3137
Country	:	US
Telephone Number	:	702-202-3048
Fax Number	:	725-735-4199

Provider Business Practice Location Address
First Line	:	3175 E WARM SPRINGS RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3137
Country	:	US
Telephone Number	:	702-202-3048
Fax Number	:	725-735-4199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	09/24/2020

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Directions to “ MISS DARSHAE LATOI PIERCE ” Practice Location

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