Individual
CARL ANTHONY MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5160 S EASTERN AVE STE E, LAS VEGAS, NV 89119-2300
(702) 798-0553
(702) 798-0556
Mailing address
5160 S EASTERN AVE STE E, LAS VEGAS, NV 89119-2300
(702) 798-0553
(702) 798-0556
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588103121
—
NV
Enumeration date
07/16/2019
Last updated
07/16/2019
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