Angelique Brooks
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164063145
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1164063145
- Entity type
- Individual (NPI-1)
- Name
- Angelique Brooks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2019
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
500 N Rainbow Blvd Ste 300Las Vegas, NV 89107-1061
Phone 702-448-8145
Mailing address
8076 Wards Ferry StLas Vegas, NV 89139-0126
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