Provider Demographics
NPI:1871264283
Name:TOLDSON, DASIA
Entity Type:Individual
Prefix:
First Name:DASIA
Middle Name:
Last Name:TOLDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 MONTESSOURI ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3059
Mailing Address - Country:US
Mailing Address - Phone:702-207-2526
Mailing Address - Fax:702-447-2524
Practice Address - Street 1:2575 MONTESSOURI ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3059
Practice Address - Country:US
Practice Address - Phone:702-207-2526
Practice Address - Fax:702-447-2524
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant