Individual
GLADYS BEATRIZ PENA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 ROLLING HILLS DR, LAS VEGAS, NV 89156-7023
(702) 505-0031
Mailing address
1650 ROLLING HILLS DR, LAS VEGAS, NV 89156-7023
(702) 505-0031
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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