Individual
CHARLA BAENA DEQUITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2667 W RICHMAR AVE, LAS VEGAS, NV 89123-3310
(808) 341-8116
Mailing address
2667 W RICHMAR AVE, LAS VEGAS, NV 89123-3310
(808) 341-8116
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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