Individual
SAMANTHA ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 560-2192
Mailing address
7015 TOLL MOUNTAIN ST, NORTH LAS VEGAS, NV 89086-1612
(928) 450-5878
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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