Individual
ANNIE JUN VALEZA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
3813 GINGER CREEK ST, LAS VEGAS, NV 89108-5240
(702) 417-5667
Mailing address
3813 GINGER CREEK ST, LAS VEGAS, NV 89108-5240
(702) 417-5667
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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