Faustino Santiago
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1124583984
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1124583984
- Entity type
- Individual (NPI-1)
- Name
- Faustino Santiago
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | FAN-006-NV | NV | Yes |
Practice location
6524 Burlwood WayLas Vegas, NV 89108-1806
Phone 702-793-0420
Mailing address
528 E Oakey Blvd # 110Las Vegas, NV 89104-1403
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