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Individual

ANA TOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6063 MACCAN ST, LAS VEGAS, NV 89113-0776
(435) 862-7480
Mailing address
6063 MACCAN ST, LAS VEGAS, NV 89113-0776
(435) 862-7480

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487056909
NV
Enumeration date
08/18/2020
Last updated
08/18/2020
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