Individual
LISA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 FULTON AVE STE 235, SACRAMENTO, CA 95825-4299
(916) 518-3187
Mailing address
2690 CHANDLER AVE STE 1, LAS VEGAS, NV 89120-4088
(702) 816-4639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
12/18/2019
Last updated
06/30/2020
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