Individual
CLARENCHELL TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220, LAS VEGAS, NV 89119-5155
(702) 560-2192
Mailing address
2500 KAREN AVE APT 22, LAS VEGAS, NV 89121-1167
(702) 639-7928
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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