Maria Cordova Pena
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164044053
StatusActive
Last updated in NPPESMay 13, 2020
Details
- NPI
- 1164044053
- Entity type
- Individual (NPI-1)
- Name
- Maria Cordova Pena
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2020
- Certification date
- May 13, 2020
- Last updated
- May 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
3655 E Sahara Ave Apt 1005Las Vegas, NV 89104-4954
Phone 702-287-5829
Mailing address
3655 E Sahara Ave Apt 1005Las Vegas, NV 89104-4954
Phone 702-287-5829
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