Individual
EISOR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 N 18TH ST, LAS VEGAS, NV 89101-2752
(702) 752-3014
Mailing address
713 N 18TH ST, LAS VEGAS, NV 89101-2752
(702) 752-3014
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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