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Individual

BRANDON RUE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 S JONES BLVD, LAS VEGAS, NV 89146-3182
(702) 574-5854
Mailing address
2001 S JONES BLVD, LAS VEGAS, NV 89146-3182
(702) 574-5854

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
10/15/2018
Last updated
10/15/2018
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