Individual
ANISLEY OLIVA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 W CHARLESTON BLVD # B-21, LAS VEGAS, NV 89102-1942
(702) 413-6011
(702) 988-8780
Mailing address
2820 W CHARLESTON BLVD # B-21, LAS VEGAS, NV 89102-1942
(702) 413-6011
(702) 988-8780
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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