Yutoshica Jacques
Technician, Personal Care Attendant in Henderson, NV. Individual provider (NPI-1).
NPI number1023765633
StatusActive
Last updated in NPPESMar 3, 2022
Details
- NPI
- 1023765633
- Entity type
- Individual (NPI-1)
- Name
- Yutoshica Jacques
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2022
- Certification date
- Mar 3, 2022
- Last updated
- Mar 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
3080 Saint Rose Pkwy Unit 1137Henderson, NV 89052-3544
Phone 424-207-9707
Mailing address
410 S Rampart Blvd Ste 390Las Vegas, NV 89145-5749
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