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Individual

AMANDA VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 S JONES BLVD STE E-3, LAS VEGAS, NV 89146-3182
(702) 425-3377
(702) 997-7552
Mailing address
2569 PINE CREEK RD, LAS VEGAS, NV 89115-4335

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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