Individual
KEJUAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1771 E FLAMINGO RD BLDG A, LAS VEGAS, NV 89119-5155
(702) 560-2192
Mailing address
1745 N LAMONT ST, LAS VEGAS, NV 89115-6609
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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