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Individual

AMBER TAWANNA GULLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 N RAINBOW BLVD, LAS VEGAS, NV 89107-1189
(909) 763-6719
Mailing address
379 STEELHEAD LN APT 103, LAS VEGAS, NV 89110-0147
(909) 763-6719

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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