Individual
CHANTAL DESIRE'E CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S JONES BLVD STE H, LAS VEGAS, NV 89146-3165
(702) 367-0111
Mailing address
2001 S JONES BLVD STE H, LAS VEGAS, NV 89146-3165
(702) 367-0111
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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