Individual
ANGELA VITINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 SAGE ST, FERNLEY, NV 89408-9065
(775) 954-8835
Mailing address
1045 SAGE ST, FERNLEY, NV 89408-9065
(775) 954-8835
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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