Individual
MERCEDIES KUUIPO MATAUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 HAVEN RIDGE CT, LAS VEGAS, NV 89117-0303
(808) 990-4641
Mailing address
3240 HAVEN RIDGE CT, LAS VEGAS, NV 89117-0303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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