Individual
CARMEN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W OAKEY BLVD STE 111-O, LAS VEGAS, NV 89102-1581
(702) 861-0238
Mailing address
1722 HUNTERS BLUFF DR, NORTH LAS VEGAS, NV 89032-7983
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821520016
—
NV
Enumeration date
09/15/2020
Last updated
09/15/2020
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