Moises Gomez
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164035986
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1164035986
- Entity type
- Individual (NPI-1)
- Name
- Moises Gomez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4314 E Cleveland AveLas Vegas, NV 89104-5320
Phone 702-715-8725
Mailing address
4314 E Cleveland AveLas Vegas, NV 89104-5320
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