Individual
ANGELINA GARCILAZO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 839-2060
Mailing address
4715 SAN LEANDRO AVE, LAS VEGAS, NV 89120-1751
(702) 272-7099
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
03155618
NV
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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