Individual
ANIVIA HERNANDEZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 VEGAS VALLEY DR, LAS VEGAS, NV 89121-1349
(702) 752-5356
Mailing address
3095 VEGAS VALLEY DR, LAS VEGAS, NV 89121-1349
(702) 752-5356
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102545440
DRIVER LICENSE
NV
Enumeration date
02/05/2018
Last updated
02/05/2018
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