Individual
MS. BRIANNA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 S JONES BLVD, LAS VEGAS, NV 89146-1259
(702) 257-9638
(702) 974-1653
Mailing address
1811 S JONES BLVD, LAS VEGAS, NV 89146-1259
(702) 257-9638
(702) 974-1653
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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