Individual
AMBER WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 PARK WAY E, LAS VEGAS, NV 89106-4818
(702) 203-6319
Mailing address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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