Individual
ANTHONY S HAVERSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1735 N NELLIS BLVD, LAS VEGAS, NV 89115-3669
(725) 204-4713
Mailing address
1735 N NELLIS BLVD, LAS VEGAS, NV 89115-3669
(725) 204-4713
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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