Maverick Joseph Chambers
Home Health Aide in Las Vegas, NV. Individual provider (NPI-1).
NPI number1023769445
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1023769445
- Entity type
- Individual (NPI-1)
- Name
- Maverick Joseph Chambers
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2022
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 1405468121 | NV | Yes |
Practice location
6300 W Lake Mead BlvdLas Vegas, NV 89108-6443
Phone 725-724-5388
Mailing address
6300 W Lake Mead BlvdLas Vegas, NV 89108-6443
Phone 725-724-5388
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