Individual
CHAMPANGE MONAE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 E TROPICANA AVE, LAS VEGAS, NV 89119-6525
(725) 214-7776
(725) 214-7768
Mailing address
1516 E TROPICANA AVE, LAS VEGAS, NV 89119-6525
(725) 214-7776
(725) 214-7768
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2102988069
NV
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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