Individual
COLETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 W FLAMINGO RD STE 25AB, LAS VEGAS, NV 89103-3705
(702) 871-9917
Mailing address
2001 QUARTZ CLIFF ST UNIT 106, LAS VEGAS, NV 89117-6005
(702) 285-6968
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101642856
NEVADA ID
NV
Enumeration date
01/30/2020
Last updated
01/30/2020
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