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Individual

ANGELA BURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5135 CAMINO AL NORTE STE 150, NORTH LAS VEGAS, NV 89031-2388
(702) 853-6714
Mailing address
5370 E CRAIG RD, LAS VEGAS, NV 89115-2100

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
NV
372600000X
Adult Companion
NV
3747A0650X
Attendant Care Provider
NV
3747P1801X
Personal Care Attendant
Primary
NV

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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