Individual
CELESTE DENISE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S JONES BLVD, LAS VEGAS, NV 89146-3182
(702) 612-5876
Mailing address
2001 S JONES BLVD, LAS VEGAS, NV 89146-3182
(702) 545-0477
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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