NPI 1003386590
Wanda Gaston
Practice location
- Address
- 3925 N. Martin Luther King Blvd STE 207, Nlv, NV 89032
- Phone
- (702) 684-7757
- Fax
- (702) 684-7381
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003386590
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2018
- Record last updated
- 28 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.