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Individual

ARACELI CASROLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
820 RANCHO LN STE 25, LAS VEGAS, NV 89106-3806
(702) 822-2655
Mailing address
820 RANCHO LN STE 25, LAS VEGAS, NV 89106-3806
(702) 822-2655

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000656182
IDENTIFICATION CARD
Enumeration date
06/27/2019
Last updated
06/27/2019
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