DEJANAE ANGELIQUE LESHAE LONG

LAS VEGAS, NV
NPI1154016517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
DEJANAE ANGELIQUE LESHAE LONG
7517 COBAL CANYON LN
LAS VEGAS, NV 89129-2903
Phone number: 702-339-0356
Mailing Address
DEJANAE ANGELIQUE LESHAE LONG
7517 COBAL CANYON LN
LAS VEGAS, NV 89129-2903
Phone number: 702-339-0356