Individual
AMBER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8565 S EASTERN AVE STE 174, LAS VEGAS, NV 89123-2907
(702) 462-2276
Mailing address
8565 S EASTERN AVE STE 174, LAS VEGAS, NV 89123-2907
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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