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Individual

MRS. ANA ISABEL PENALOZA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2785 E DESERT INN RD STE 240, LAS VEGAS, NV 89121-3624
(702) 619-2059
Mailing address
2785 E DESERT INN RD STE 240, LAS VEGAS, NV 89121-3624
(702) 619-2059

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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