BRODERICK STAVES

LAS VEGAS, NV
NPI1255063863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-06-30
Last Update Date2022-06-30
Business Address
BRODERICK STAVES
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number: 702-751-0356
Mailing Address
BRODERICK STAVES
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number:
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