Individual
ANDRE SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6166 S SANDHILL RD STE 128, LAS VEGAS, NV 89120-3221
(801) 884-9684
Mailing address
6166 S SANDHILL RD STE 128, LAS VEGAS, NV 89120-3221
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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