Roger Fernandez
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1043087752
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1043087752
- Entity type
- Individual (NPI-1)
- Name
- Roger Fernandez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2023
- Certification date
- Dec 4, 2023
- Last updated
- Dec 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
8225 W Sahara AveLas Vegas, NV 89117-8962
Phone 702-871-0002
Mailing address
8225 W Sahara AveLas Vegas, NV 89117-8962
Phone 702-871-0002
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