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Individual

MARIA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120
(702) 992-0576
Mailing address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
03/23/2020
Last updated
05/04/2021
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