Individual
ANTHONY PAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 SANTA ROSALIA DR, NORTH LAS VEGAS, NV 89031-1010
(702) 929-3297
(702) 750-9927
Mailing address
1517 SANTA ROSALIA DR, NORTH LAS VEGAS, NV 89031-1010
(702) 929-3297
(702) 750-9927
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306384219
—
NV
Enumeration date
10/07/2019
Last updated
10/07/2019
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