Individual
CHAD HERRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 S DECATUR BLVD APT 1200, LAS VEGAS, NV 89103-5882
(661) 753-6562
Mailing address
4201 S DECATUR BLVD APT 1200, LAS VEGAS, NV 89103-5882
(661) 753-6562
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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