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RATIH RATU PUA'OLENA SIREGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1912 S MARYLAND PKWY STE 1, LAS VEGAS, NV 89104-3106
(702) 331-3650
Mailing address
2435 PARADISE VILLAGE WAY, LAS VEGAS, NV 89120-1040
(725) 326-0038

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary
385H00000X
Respite Care

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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