Individual
BREANNA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 ELLIS ST APT 5, N LAS VEGAS, NV 89030-6051
(725) 895-0188
Mailing address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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