Individual
AMELIA WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2670 CRIMSON CANYON DR STE 150, LAS VEGAS, NV 89128-0848
(702) 405-8044
Mailing address
304 S JONES BLVD STE 3648, LAS VEGAS, NV 89107-2623
(747) 282-9696
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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