Individual
LOVELY MACANDOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59 VOLTAIRE AVE, HENDERSON, NV 89002-6553
(702) 807-7336
Mailing address
59 VOLTAIRE AVE, HENDERSON, NV 89002-6553
(702) 807-7336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
887138
NV
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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