Individual
FADA HERRICK
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
2570 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5618
(702) 202-2417
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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