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Individual

ALICE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
551 MONROE AVE, APT 7, LAS VEGAS, NV 89106
(702) 337-6734
Mailing address
551 MONROE AVE, APT 7, LAS VEGAS, NV 89106

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
NV
3747P1801X
Personal Care Attendant
Primary
NV
376J00000X
Homemaker

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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