Bass, La' Wanda Tara

Bass, La' Wanda Tara is an sole proprietor health care provider with primary practice located at 2020 W Bonanza Rd , Las Vegas NV 89106-4710. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Bass, La' Wanda Tara can be contacted via phone (702) 749-6332.

Contact Information

Primary practice address
2020 W Bonanza Rd Las Vegas NV 89106-4710
Phone: (702) 749-6332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1386024180
LBN Legal business name Bass, La' Wanda Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2015
Last updated Jun 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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