LAQUANN WALLACE

LAS VEGAS, NV
NPI1124580873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2019-04-02
Last Update Date2022-01-10
Business Address
LAQUANN WALLACE
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119-5189
Phone number: 702-890-0405
Mailing Address
LAQUANN WALLACE
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119-5189
Phone number: 702-890-0405
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