Carmen Alicia Guancha Guerrero
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164045936
StatusActive
Last updated in NPPESMay 27, 2020
Details
- NPI
- 1164045936
- Entity type
- Individual (NPI-1)
- Name
- Carmen Alicia Guancha Guerrero
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2020
- Certification date
- May 27, 2020
- Last updated
- May 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
7040 Laredo St Ste ELas Vegas, NV 89117-3044
Phone 702-834-6560 · Fax 702-834-8494
Mailing address
7040 Laredo St Ste ELas Vegas, NV 89117-3044
Phone 702-834-6560
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