Individual
ANTOINETTE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 E PATRICK LN STE 202, LAS VEGAS, NV 89120-4902
(702) 855-3384
Mailing address
3960 E PATRICK LN STE 202, LAS VEGAS, NV 89120-4902
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194121244
—
NV
Enumeration date
08/14/2019
Last updated
08/14/2019
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