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Myrna Basham

NPI 1629692975 · on the registry since 2020

Practice

Address
3784 Edison Ave
Las Vegas, NV 89121
Phone
(702) 272-7515
Organisation at this address
Ckk Residential Care Llc
Family Friendly Care Home Llc
Family Friendly Care Home Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada