Provider Demographics
NPI:1942850813
Name:REYES-TOSTON, SASHA
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:REYES-TOSTON
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 1:3300 N TENAYA WAY APT 2061
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6251
Mailing Address - Country:US
Mailing Address - Phone:725-221-9508
Mailing Address - Fax:
Practice Address - Street 1:3300 N TENAYA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7433
Practice Address - Country:US
Practice Address - Phone:725-221-9508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide