Individual
AMY PAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5538 MONCINNA ST, LAS VEGAS, NV 89118-6077
(310) 595-0789
Mailing address
528 E OAKEY BLVD # 110, LAS VEGAS, NV 89104-1403
(702) 686-3372
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
01/11/2024
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