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Individual

CHAD ANTHONY CARDOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6725 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-3949
(702) 646-2722
Mailing address
6543 CORONADO CANYON AVE, LAS VEGAS, NV 89142-2878
(702) 587-9088

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
NV
372600000X
Adult Companion
NV
3747A0650X
Attendant Care Provider
NV
3747P1801X
Personal Care Attendant
Primary
NV
376J00000X
Homemaker
NV

Other

Enumeration date
03/06/2018
Last updated
03/06/2018
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