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Individual

VANESSA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3224 DRAGON FLY ST, NORTH LAS VEGAS, NV 89032-3496
(702) 466-5341
Mailing address
3224 DRAGON FLY ST, NORTH LAS VEGAS, NV 89032-3496
(702) 466-5341

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
03/29/2021
Last updated
03/29/2021
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