Individual
BRANDI JEAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4249 DESPERADO CT, SPARKS, NV 89436-8601
(775) 219-9365
Mailing address
4249 DESPERADO CT, SPARKS, NV 89436-8601
(775) 219-9365
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NV
3747P1801X
Personal Care Attendant
N.A.
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109316
—
NV
Enumeration date
05/06/2019
Last updated
06/11/2019
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