Individual
MATIA LOLA-LAMARA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6124 FANTASTIC TACHI ST, NORTH LAS VEGAS, NV 89081-6683
(702) 510-3229
Mailing address
6124 FANTASTIC TACHI ST, NORTH LAS VEGAS, NV 89081-6683
(702) 510-3229
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/11/2015
Last updated
04/11/2015
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