Individual
PATRICE RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 RAINY MEADOWS AVE, NORTH LAS VEGAS, NV 89031-4419
(702) 301-3377
Mailing address
2420 RAINY MEADOWS AVE, NORTH LAS VEGAS, NV 89031-4419
(702) 301-3377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184150658
—
NV
Enumeration date
05/03/2017
Last updated
10/21/2024
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