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Individual

BRANDIA LORISA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3118 WEXFORD HILL CT, NORTH LAS VEGAS, NV 89031-2250
(424) 222-3225
Mailing address
3118 WEXFORD HILL CT, NORTH LAS VEGAS, NV 89031-2250
(424) 222-3225

Taxonomy

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

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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