COREY NICHTAVIOUS DANIELY

LAS VEGAS, NV
NPI1447917448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-11-24
Last Update Date2021-11-24
Business Address
COREY NICHTAVIOUS DANIELY
2880 E FLAMINGO RD STE G
LAS VEGAS, NV 89121-5223
Phone number: 725-251-2795
Mailing Address
COREY NICHTAVIOUS DANIELY
2880 E FLAMINGO RD STE G
LAS VEGAS, NV 89121-5223
Phone number: 725-251-2795