Individual
AMBER BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 STELLA LAKE ST, LAS VEGAS, NV 89106-2114
(702) 595-8309
Mailing address
1951 STELLA LAKE ST, LAS VEGAS, NV 89106-2114
(702) 595-8309
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100012153
DRIVERS LICENSE
NV
Enumeration date
12/10/2021
Last updated
12/10/2021
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