Marlene San Nicolas
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1023701232
StatusActive
Last updated in NPPESJun 2, 2023
Details
- NPI
- 1023701232
- Entity type
- Individual (NPI-1)
- Name
- Marlene San Nicolas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2023
- Certification date
- Jun 2, 2023
- Last updated
- Jun 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2810 W Charleston Blvd Ste 83Las Vegas, NV 89102-1910
Phone 702-331-4969
Mailing address
2810 W Charleston Blvd Ste 83Las Vegas, NV 89102-1910
Phone 702-331-4969
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