LICHANG SU

Home Health Aide

Active Individual
NPI: 1801411921

Practice Address

3625 S DECATUR BLVD APT 1110
Las Vegas, NV 89103

Phone: (860) 371-5549

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1801411921 is the National Provider Identifier for LICHANG SU, a Home Health Aide provider located in Las Vegas, NV. This NPI was enumerated on June 15, 2020.
LICHANG SU practices at 3625 S DECATUR BLVD APT 1110, Las Vegas, NV 89103.

Quick Facts

NPI
1801411921
Type
Individual
Enumerated
Jun 15, 2020
Last Updated
Jun 15, 2020

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