Individual
CANDACE LEIA ROSE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 560-2192
Mailing address
3055 S NELLIS BLVD APT 2052, LAS VEGAS, NV 89121-7706
(313) 740-5616
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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