Individual
ANDREA VILLANUEVA DE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 S JONES BLVD STE 105B, LAS VEGAS, NV 89146-5628
(702) 333-1488
Mailing address
4719 CHECKER WAY, NORTH LAS VEGAS, NV 89031-6258
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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