Individual
ANA IRIS GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 S PECOS RD STE 103, LAS VEGAS, NV 89121-5828
(702) 970-0051
Mailing address
4760 S PECOS RD STE 103, LAS VEGAS, NV 89121-5828
(702) 970-0051
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G510009679560
—
FL
Enumeration date
06/10/2022
Last updated
06/10/2022
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