Individual
ISIS LEGACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4423 W FLAMINGO RD, LAS VEGAS, NV 89103-3703
(702) 458-1137
(702) 458-1423
Mailing address
1509 LORILYN AVE UNIT 3, LAS VEGAS, NV 89119-6385
(702) 902-6442
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
845934
NV
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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