Individual
CRISANTA PASION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3881 CHUTNEY ST, LAS VEGAS, NV 89121-4617
(702) 485-0363
(702) 915-7534
Mailing address
3881 CHUTNEY ST, LAS VEGAS, NV 89121-4617
(702) 485-0363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2788-AGC-18
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005034531
—
NV
Enumeration date
04/03/2018
Last updated
04/03/2018
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