Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1174045751 |
---|---|
Provider Name | Jamelia Loyd |
First Address | Las Vegas, NV 89106-2210 |
Second Address | N Las Vegas, NV 89030-3886 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2017 |
Last Update Date | 14/07/2017 |