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Individual

LIANNY STEWART FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6725 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-3949
(702) 646-2722
Mailing address
6725 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-3949

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NV
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
04/19/2022
Last updated
03/09/2023
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