Individual
ANOLAN ACOSTA-BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 N PECOS RD, LAS VEGAS, NV 89101-4839
(725) 287-9681
Mailing address
60 N PECOS RD, LAS VEGAS, NV 89101-4839
(725) 287-9681
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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