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Individual

MR. RICHARD TACKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3210 W CHARLESTON BLVD STE 2, LAS VEGAS, NV 89102-0080
(170) 289-3200
Mailing address
3210 W CHARLESTON BLVD STE 2, LAS VEGAS, NV 89102-0080
(702) 893-2001
(702) 369-3334

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/21/2022
Last updated
09/21/2022
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