Individual
BRISNEY MARRERO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W OAKEY BLVD, LAS VEGAS, NV 89102-1581
(702) 861-0238
(702) 938-5896
Mailing address
3234 GAUCHO DR, LAS VEGAS, NV 89169-2546
(702) 890-6764
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821520016
—
NV
Enumeration date
07/04/2018
Last updated
03/06/2019
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