Individual
BRICIA TOMASA JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 REYNOLDS AVE STE 101, NORTH LAS VEGAS, NV 89030-7279
(702) 906-1999
Mailing address
2415 REYNOLDS AVE STE 101, NORTH LAS VEGAS, NV 89030-7279
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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