Individual
MAKSIM BALETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4955 S DURANGO DR, LAS VEGAS, NV 89113-0152
(028) 712-2737
Mailing address
4955 S DURANGO DR, LAS VEGAS, NV 89113-0152
(702) 871-2273
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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