Gresham, Gena Kay
Gresham, Gena Kay is an sole proprietor health care provider with primary practice located at 8670 W Cheyenne Ave Suite 120, Las Vegas NV 89129-7456. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Gresham, Gena Kay can be contacted via phone (702) 425-2791.Contact Information
Primary practice address
8670 W Cheyenne Ave Suite 120
Las Vegas NV 89129-7456
Phone: (702) 425-2791
Fax: (725) 877-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X |
Profile Details
| NPI number | 1497003719 |
|---|---|
| LBN Legal business name | Gresham, Gena Kay |
| Credentials | IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2012 |
| Last updated | Mar 11th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497003719 | NPPES |
| Other | 10623419 | IBCLC |
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