Individual
ANTONETTE BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 S EASTERN AVE STE 201, LAS VEGAS, NV 89119-6139
(702) 462-5251
Mailing address
4660 S EASTERN AVE STE 201, LAS VEGAS, NV 89119-6139
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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