Individual
ANASIRI ROCHART REVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 TAUNTON ST, LAS VEGAS, NV 89178-1206
(702) 350-8003
Mailing address
520 TAUNTON ST, LAS VEGAS, NV 89178-1206
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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