Individual
ADELA GUTIERREZ
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
(705) 595-8309
Mailing address
2612 FALLOW FIELDS TER, HENDERSON, NV 89052-2878
(702) 250-6440
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1401600933
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401600933
—
NV
Enumeration date
02/12/2018
Last updated
02/12/2018
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