Individual
ARTESIA LAY'CHELLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 STELLA LAKE ST STE 36, LAS VEGAS, NV 89106-2144
(702) 595-8309
Mailing address
18 W WEBB AVE APT E, N LAS VEGAS, NV 89030-6806
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1602682902
—
NV
Enumeration date
06/29/2018
Last updated
06/29/2018
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