Individual
BEA THERESE KAIPAT DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4448
(800) 806-8885
Mailing address
1000 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4448
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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