Individual
LATISHA NELMS-TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 S BOULDER HWY APT 6207, HENDERSON, NV 89015-8537
(725) 242-1361
Mailing address
1601 S BOULDER HWY APT 6207, HENDERSON, NV 89015-8537
(725) 242-1361
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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