Individual
CANDY PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 W TROPICANA AVE, APT 343, LAS VEGAS, NV 89103-4603
(415) 429-9646
Mailing address
6255 W TROPICANA AVE, LAS VEGAS, NV 89103-4603
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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