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Individual

RICHALE JEANEANE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5327 EDNA CRANE AVE, NORTH LAS VEGAS, NV 89031-7989
(702) 561-6510
(702) 483-6966
Mailing address
5816 CAPITOLA AVE, LAS VEGAS, NV 89108-4734
(702) 427-0305

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/03/2013
Last updated
06/03/2013
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