Individual
AARON RAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-6138
(702) 476-9283
Mailing address
4660 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-6138
(702) 476-9283
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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