Individual
ALICEFAYE ELIZABETH CAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3468 E SAHARA AVE STE 165, LAS VEGAS, NV 89104-4827
(702) 207-0842
Mailing address
575 ROSSMORE DR, LAS VEGAS, NV 89110-4122
(702) 488-0028
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102285808
DRIVER LICENSE
NV
Enumeration date
02/19/2018
Last updated
02/19/2018
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