ELLIS WIEGAND

LAS VEGAS, NV
NPI1154117398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
ELLIS WIEGAND
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 725-745-3741
Mailing Address
ELLIS WIEGAND
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 725-745-3741
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