Individual
ANITA RACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7465 W LAKE MEAD BLVD STE 116, LAS VEGAS, NV 89128-1032
(702) 562-1245
(702) 562-8110
Mailing address
4316 ERICA DRIVE, N LAS VEGAS, NV 89032-0168
(702) 964-3531
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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