Individual
TERESITA F PAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 VEGAS VALLEY DR UNIT 93, LAS VEGAS, NV 89121-2035
(808) 499-7374
Mailing address
4760 S PECOS RD STE 103-18, LAS VEGAS, NV 89121-6038
(702) 207-1005
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472989962
PROVIDER
NV
Enumeration date
06/25/2021
Last updated
06/25/2021
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