Individual
TENAYA NIKARA FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 MOROCCO AVE, NORTH LAS VEGAS, NV 89031-0945
(702) 927-5085
Mailing address
2406 MOROCCO AVE, NORTH LAS VEGAS, NV 89031-0945
(702) 927-5085
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
09/14/2020
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