Organization
BLOSSOM PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GABRIELA PAU VEITIA (ADMINISTRATOR)
(702) 241-1761
Entity
Organization
Contact information
Practice address
2810 W CHARLESTON BLVD STE E44, LAS VEGAS, NV 89102-1921
(702) 241-1761
Mailing address
2810 W CHARLESTON BLVD STE E44, LAS VEGAS, NV 89102-1921
(702) 241-1761
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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