Individual
ANISLEY MARTINEZ RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 W OAKEY BLVD, LAS VEGAS, NV 89102-0529
(702) 666-5757
Mailing address
4309 W OAKEY BLVD, LAS VEGAS, NV 89102-0529
(702) 666-5757
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
12/30/2020
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