Individual
SUSANA REETAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 560-2192
Mailing address
912 SHELTON DR, LAS VEGAS, NV 89108-1743
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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