Individual
ISATA KENNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELMROCK PL, LAS VEGAS, NV 89121-5632
(702) 824-4892
Mailing address
3111 ELMROCK PL, LAS VEGAS, NV 89121-5632
(702) 824-4892
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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