Most Relevant Information
Provider Data
NPI Number: | 1003523762 |
Provider Name: | AMBER UNIQUE RENEAU |
Entity Type: | Individual |
Taxonomy Code: | 372600000X |
Specialty: | Adult Companion |
License Number: |
Most Important Dates
Enumeration Date: | 11/02/2022 |
Last Updated: | 11/02/2022 |
Provider Practice Location
6725 S EASTERN AVE STE 1
LAS VEGAS
NV
891193949
Practice Location Phone/Fax
Phone: | 7026462722 |
Fax: |
Provider Mailing Location
6725 S EASTERN AVE STE 1
LAS VEGAS
NV
891193949
Provider Mailing Phone/Fax
Phone: | |
Fax: |