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Rosanetta Smith

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

NPI number1629559596
StatusActive
Last updated in NPPESAug 28, 2018

Details

NPI
1629559596
Entity type
Individual (NPI-1)
Name
Rosanetta Smith
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 28, 2018
Last updated
Aug 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthNV20181306317NVYes

Practice location

1104 Ferguson Ave
North Las Vegas, NV 89030-5391

Phone 702-553-8139 · Fax 702-553-8139

Mailing address

1104 Ferguson Ave
North Las Vegas, NV 89030-5391

Phone 702-553-8139 · Fax 702-553-8139

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