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Individual

DALLIS MACHADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2560 E SUNSET RD STE 106, LAS VEGAS, NV 89120-3517
(702) 202-0552
(702) 224-2157
Mailing address
1401 HENRY DR APT D, LAS VEGAS, NV 89110-1238
(702) 809-7335

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2104566426
NV
Enumeration date
09/10/2020
Last updated
09/10/2020
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