Individual
ANGELA MARIE PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2334 SABROSO ST, LAS VEGAS, NV 89156-6175
(702) 733-6300
Mailing address
2334 SABROSO ST, LAS VEGAS, NV 89156-6175
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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