Easterly, Moana Lynn

Easterly, Moana Lynn is an individual health care provider with primary practice located at 4101 Harris Ave , Las Vegas NV 89110-2252. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Easterly, Moana Lynn can be contacted via phone (702) 954-0052.

Contact Information

Primary practice address
4101 Harris Ave Las Vegas NV 89110-2252
Phone: (702) 954-0052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1790484061
LBN Legal business name Easterly, Moana Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2023
Last updated Feb 27th, 2023 - about 2 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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