Individual
BURNEY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6615 S EASTERN AVE STE 104, LAS VEGAS, NV 89119-3926
(702) 722-6200
(702) 722-6202
Mailing address
5353 W DESERT INN RD APT 1069, LAS VEGAS, NV 89146-7943
(702) 713-1289
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E00000X
HOME HEALTH
NV
Enumeration date
08/21/2019
Last updated
08/21/2019
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