Individual
ANGELA DEE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 E FLAMINGO RD STE K, LAS VEGAS, NV 89121-5270
(702) 318-5005
(702) 318-5006
Mailing address
2860 E FLAMINGO RD STE K, LAS VEGAS, NV 89121-5270
(702) 318-5005
(702) 318-5006
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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