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Gloria Yolanda Wine

Home Health Aide in Las Vegas, NV. Individual provider (NPI-1).

NPI number1194433763
StatusActive
Last updated in NPPESNov 11, 2022

Details

NPI
1194433763
Entity type
Individual (NPI-1)
Name
Gloria Yolanda Wine
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 11, 2022
Certification date
Nov 11, 2022
Last updated
Nov 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1771 E Flamingo Rd Ste 220a
Las Vegas, NV 89119-0850

Phone 702-560-2192

Mailing address

10517 Redwood Ash Ave
Las Vegas, NV 89144-4522

Phone 702-418-5349

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