Individual
MRS. CALVETTA BRUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE GIVER
Contact information
Practice address
4848 RAVEN AVE, LAS VEGAS, NV 89139-8162
(702) 426-6886
Mailing address
7320 S RAINBOW BLVD STE 102-559, LAS VEGAS, NV 89139-0406
(702) 426-6886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100050682
—
NV
Enumeration date
03/09/2021
Last updated
03/09/2021
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