Individual
LESLIE SUE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 NORTHAM ST, LAS VEGAS, NV 89102-5984
(702) 218-0673
Mailing address
2712 NORTHAM ST, LAS VEGAS, NV 89102-5984
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1602915202
—
NV
Enumeration date
03/09/2021
Last updated
03/09/2021
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