Individual provider · Type 1 NPI

Tafari Walston

Comprehensive Outpatient Rehabilitation Facility (CORF) · Las Vegas, NV

NPI number 1659997013 Active

Practice location

900 S Valley View Blvd Ste 195
Las Vegas, NV 89107-4430

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XNV20201768213 (NV)

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1659997013

Tafari Walston's National Provider Identifier is 1659997013, issued on Jun 22, 2020. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 22, 2020.