NPI 1073006706
Wicker Basket LLC
Practice location
- Address
- 3020 Beaufort CT, North Las Vegas, NV 89032-0478
- Phone
- (702) 994-0857
Authorised official
- Name
- Lourdes Manguino
- Title
- Ownwe
- Phone
- (702) 445-0088
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1073006706
- Entity type
- Organization
- NPI issued
- 7 Jun 2018
- Record last updated
- 15 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.