Individual
DIANE LYNN PEREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD, LAS VEGAS, NV 89119-5155
(702) 560-2192
Mailing address
2221 OAKRIDGE AVE, PAHRUMP, NV 89048-3665
(361) 933-6444
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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