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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA GASTON

Active Sole Proprietor

WANDA GASTON is a Community/Behavioral Health healthcare provider located in NLV, Nevada. NPI 1003386590 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · NLV, NV

Registration Details

NPI Number
1003386590
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2018 (7.7250949788584 yrs)
Last Updated
Nov 28, 2018
Sole Proprietor
Yes

Practice Information

Address
3925 N. MARTIN LUTHER KING BLVD STE 207
NLV, NV, 89032
Browse NV providers · Browse ZIP 89032
Phone
7026847757
Fax
7026847381
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.