Individual
ANTONISHA V. DURISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7517 COBAL CANYON LN, LAS VEGAS, NV 89129-2903
(702) 339-0356
Mailing address
7517 COBAL CANYON LN, LAS VEGAS, NV 89129-2903
(702) 339-0356
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/08/2024
Last updated
06/12/2025
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