Individual
ACACIA LA GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 S RAINBOW BLVD UNIT 102-8, LAS VEGAS, NV 89146-6239
(702) 463-0085
Mailing address
7012 ALTA DR, LAS VEGAS, NV 89145-5206
(702) 308-4009
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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