Individual
MARIA MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 W SAHARA AVE, LAS VEGAS, NV 89146-3051
(702) 598-2048
Mailing address
6128 W SAHARA AVE, LAS VEGAS, NV 89146-3051
(702) 598-2048
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005048770
—
NV
Enumeration date
07/13/2020
Last updated
07/13/2020
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