Individual
BEVERLY ANN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 448-8145
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 448-8145
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405807089
DRIVER'S LICENSE
NV
Enumeration date
09/01/2020
Last updated
09/01/2020
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