Provider Demographics
NPI:1942837620
Name:LEMAY, DOMINICA MARIE
Entity type:Individual
Prefix:
First Name:DOMINICA
Middle Name:MARIE
Last Name:LEMAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NICA
Other - Middle Name:MARIE
Other - Last Name:LAMAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:IDEAL STAFFING INC 500 N RAINBOW BLVD STE 300 LAS VEGAS
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107
Mailing Address - Country:US
Mailing Address - Phone:702-305-5377
Mailing Address - Fax:855-710-6639
Practice Address - Street 1:IDEAL STAFFING INC 500 N RAINBOW BLVD STE 300 LAS VEGAS
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107
Practice Address - Country:US
Practice Address - Phone:702-305-5377
Practice Address - Fax:855-710-6639
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant