Individual
DANETTA KAY POOLE-WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 SERENGETI CT, NORTH LAS VEGAS, NV 89032-7668
(323) 377-2575
Mailing address
3435 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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