Individual
ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 E SAHARA AVE, LAS VEGAS, NV 89104-3733
(702) 562-2348
Mailing address
2500 KAREN AVE APT 182, LAS VEGAS, NV 89121-1123
(661) 974-5143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/02/2018
Last updated
02/04/2020
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