Luann Wise
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962059634
StatusActive
Last updated in NPPESAug 19, 2019
Details
- NPI
- 1962059634
- Entity type
- Individual (NPI-1)
- Name
- Luann Wise
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2019
- Last updated
- Aug 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
6615 S Eastern AveLas Vegas, NV 89119-3921
Phone 702-722-6200 · Fax 702-722-6202
Mailing address
9025 Square Knot AveLas Vegas, NV 89143-4421
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