Individual
DOMINIQUE BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102-1633
(702) 478-5541
Mailing address
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102-1633
(702) 478-5541
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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