Organization
BRANDY NICOLE MCCULLOUCH
Active
Other names
Brandy Nicole Mccullouch
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY MCCULLOUCH (CEO)
(702) 717-8705
Entity
Organization
Contact information
Practice address
708 COWBOY CROSS AVE, N LAS VEGAS, NV 89081-6746
(702) 717-8705
Mailing address
708 COWBOY CROSS AVE, N LAS VEGAS, NV 89081-6746
(702) 717-8705
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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