Larry Mack
NPI #1013729789 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1013729789
- Entity Type
- Individual
- Name
- Larry Mack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 5213 RED VINE ST
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89031-0677
- Phone
- (702) 981-7656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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