Individual
ANNE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5858 S PECOS RD # I-100, LAS VEGAS, NV 89120-5401
(702) 855-3382
Mailing address
5858 S PECOS RD # I-100, LAS VEGAS, NV 89120-5401
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194121244
—
NV
Enumeration date
07/15/2020
Last updated
07/15/2020
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