RUSSELL IDEISHI

NORTH LAS VEGAS, NV
NPI1073264305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-01-18
Last Update Date2022-01-18
Business Address
RUSSELL IDEISHI
517 COUNT AVE
NORTH LAS VEGAS, NV 89030-8630
Phone number: 702-778-7440
Mailing Address
RUSSELL IDEISHI
517 COUNT AVE
NORTH LAS VEGAS, NV 89030-8630
Phone number: 702-778-7440