Individual
BREANNA MALLETT-CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 CHANDLER AVE STE 1, LAS VEGAS, NV 89120-4088
(702) 816-4639
Mailing address
2690 CHANDLER AVE STE 1, LAS VEGAS, NV 89120-4088
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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