Individual
ADISNUBIA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S EASTERN AVE, LAS VEGAS, NV 89104-4109
(702) 207-0842
Mailing address
PO BOX 43753, LAS VEGAS, NV 89116-1753
(702) 290-9859
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/16/2018
Last updated
12/30/2024
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