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Individual

RICKY ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5377 S EASTERN AVE, LAS VEGAS, NV 89119-2314
(702) 510-8703
Mailing address
5377 S EASTERN AVE, LAS VEGAS, NV 89119-2314

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
NV
376J00000X
Homemaker

Other

Enumeration date
02/21/2018
Last updated
02/21/2018
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