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Terdell Brinkley

Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).

NPI number1144862004
StatusActive
Last updated in NPPESOct 11, 2019

Details

NPI
1144862004
Entity type
Individual (NPI-1)
Name
Terdell Brinkley
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2019
Last updated
Oct 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes
372500000X Chore Provider––
3747A0650X Technician, Attendant Care Provider––
376J00000X Homemaker––

Practice location

2670 Crimson Canyon Dr Ste 150
Las Vegas, NV 89128-0848

Phone 702-405-8044

Mailing address

8855 W Arby Ave Apt 1050
Las Vegas, NV 89148-2215

Phone 702-619-7949

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