Individual
BRIGETTE BOUCAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4170 E BONANZA RD APT 121, LAS VEGAS, NV 89110-6101
(702) 357-8317
(702) 357-8317
Mailing address
4170 E BONANZA RD APT 121, LAS VEGAS, NV 89110-6101
(702) 357-8317
(702) 357-8317
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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