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Individual

CHANNAE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 929-3297
Mailing address
2068 N NELLIS BLVD APT 173, LAS VEGAS, NV 89115-5562

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1306384219
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306384219
NV
Enumeration date
05/01/2024
Last updated
12/04/2025
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