Individual
TINA MARIE RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2516 CALICO ST, LAS VEGAS, NV 89108-3708
(702) 468-2004
Mailing address
2516 CALICO ST, LAS VEGAS, NV 89108-3708
(702) 468-2004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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