RUSSELL J PETERSEN

LAS VEGAS, NV
NPI1790288462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
RUSSELL J PETERSEN
7762 W SAHARA AVE
LAS VEGAS, NV 89117-2700
Phone number: 702-240-7711
Mailing Address
RUSSELL J PETERSEN
7762 W SAHARA AVE
LAS VEGAS, NV 89117-2700
Phone number: 702-240-7711
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